Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIS-KNIGHTON MEDICAL CENTER MARK RICHARD MAINOUS
Active OrganizationWILLIS-KNIGHTON MEDICAL CENTER MARK RICHARD MAINOUS is a Surgical Critical Care organization located in BOSSIER CITY, Louisiana. NPI 1720014145 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1720014145
- Provider Type
- Organization
- NPI Issued
- Jun 25, 2006 (20.162630123266 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
2400 HOSPITAL DRSUITE 310BOSSIER CITY, LA, 711112385Browse LA providers · Browse ZIP 71111
- Phone
- 3182127810
- Fax
- 3182127815
- Primary Specialty
-
Surgical Critical Care
2086S0102X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.