Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTIN R. BLACK, MD
ActiveDESTIN R. BLACK, MD is a Gynecologic Oncology healthcare provider located in SHREVEPORT, Louisiana. NPI 1306062625 is currently active in the NPPES registry. Verify at CMS.
Gynecologic Oncology · SHREVEPORT, LA
Registration Details
- NPI Number
- 1306062625
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2007 (19.348498485657 yrs)
- Last Updated
- Jun 18, 2021
- License
-
024725 (LA)
Practice Information
- Address
-
2600 KINGS HWYSUITE 420SHREVEPORT, LA, 711033950Browse LA providers · Browse ZIP 71103
- Phone
- 3182128727
- Fax
- 3182128771
- Primary Specialty
-
Gynecologic Oncology
207VX0201X
Other Gynecologic Oncology Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| RICKY LAWAYNE OWERS | MD | 1861572349 |
| DR. ANDREW EMMONS GREEN | M.D. | 1396943973 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.