OrganizationActive
The Plastic Surgery Center LLP
NPI 1700929874 · Plastic and Reconstructive Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1700929874
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Forrest Wall, Owner(318) 221-1629
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
385 Bert Kouns Ind. Loop, Bldg 100
Shreveport, LA 71106-8124
Phone: (318) 221-1629
Approximate (ZIP-level) locationGet directions
Mailing address
385 Bert Kouns Ind. Loop, Bldg 100
Shreveport, LA 71106-8124
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.