OrganizationActive
Bundrick and O'Neal Plastic Surgery (amc)
NPI 1093776429 · Plastic Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1093776429
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patterson, Office Manager(318) 221-9671
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2210 Line Ave
Suite 204
Shreveport, LA 71104-2152
Phone: (318) 221-9671
Fax: (318) 425-2343
Approximate (ZIP-level) locationGet directions
Mailing address
2210 Line Ave
Shreveport, LA 71104-2152
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.