Alfred W. Hathorn Jr., M.d. Apmc
Pediatrics
Alfred W. Hathorn Jr., M.d. Apmc is a Shreveport, Louisiana based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2120 Bert Koun Loop, Suite # L, Shreveport, Louisiana - 71118-3351. They can be contacted on phone at
318-686-8197 and fax number 318-688-5962.
NPI number (Unique professional ID) for Alfred W. Hathorn Jr., M.d. Apmc is
1487066296 which was assigned by NPPES on 28 May, 2014 and it was last updated on 28 May, 2014.
Alfred W. Hathorn Jr., M.d. Apmc license number is
011400 for Pediatrics (208000000X) in Louisiana.
Alfred W. Hathorn Jr., M.d. Apmc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Alfred W. Hathorn Jr., M.d. Apmc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Alfred W. Hathorn Jr., M.d. Apmc |
|---|
Business Address:
Alfred W. Hathorn Jr., M.d. Apmc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2120 Bert Koun Loop, Suite # L
Shreveport, LA, 71118-3351
United States |
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| Phone Number : | 318-686-8197 |
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| Fax Number : | 318-688-5962 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487066296 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 28 May, 2014 |
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| Last Updated On : | 28 May, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Rutha Hathorn |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 318-686-8197 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alfred W. Hathorn Jr., M.d. Apmc are as mentioned. Primary taxonomy code for Alfred W. Hathorn Jr., M.d. Apmc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363LA2100X | Nurse Practitioner Acute Care | No | AP06110 | LA |
| 208000000X | Pediatrics | Yes | 011400 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Alfred W. Hathorn Jr., M.d. Apmc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2315889 | MEDICAID | LA | |
| 1135127 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2120 Bert Koun Loop, Suite # L
Shreveport, LA, 71118-3351
United States |
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| Phone Number : | 318-686-8197 |
|---|
| Fax Number : | 318-688-5962 |
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Business Location:
Patients can refer following map for directions to
Alfred W. Hathorn Jr., M.d. Apmc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.