IndividualActive
Charles Black, M.D.
NPI 1992744981 · Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1992744981
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- L011576 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1534 Elizabeth Ave
Suite 202
Shreveport, LA 71101-4516
Phone: (318) 681-7350
Fax: (318) 681-7351
Approximate (ZIP-level) locationGet directions
Mailing address
1534 Elizabeth Ave
Shreveport, LA 71101-4516
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2007-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.