IndividualActive
Forrest Wall, M.D.
NPI 1699758474 · Plastic and Reconstructive Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1699758474
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10089R (LA)
Practice location
385 Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71106-8159
Phone: (318) 221-1629
Fax: (318) 221-6308
Mailing address
385 Bert Kouns Industrial Loop Bldg 100
Shreveport, LA 71106-8124
Registry dates
- Enumerated
- 2005-11-25
- Last updated
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.