person
Dr. Ralph Willard Baucum III, MD
Cardiovascular Disease Physician in Shreveport, Louisiana
NPI 1295735793

Ralph Willard Baucum III is a Cardiovascular Disease Physician based in Shreveport, LA and is specialized in Cardiovascular Disease. Ralph Willard Baucum III practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Ralph Willard Baucum III is 1295735793 and holds a License No. 019833 (Louisiana).

The current practice location address for Ralph Willard Baucum III is 1453 E Bert Koun Loop, Shreveport, LA and can be reached out via phone at 318-222-3695 and via fax at 318-424-0717. You can also correspond with Ralph Willard Baucum III through the mailing address at PO BOX 51008, SHREVEPORT, LA - 71135-1008 (mailing address contact number: 318-798-9400).

Location: 1453 E Bert Koun Loop, Shreveport, LA, 71135-1008
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Provider Profile Details
NPI Number
1295735793
Provider Name
Ralph Willard Baucum III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1453 E Bert Koun Loop, Shreveport, LA, 71135-1008
Phone Number
318-222-3695
Fax Number
318-424-0717
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1996076 05 LA
institution
Provider Business Practice Location Address Details
Address
1453 E Bert Koun Loop
City
State
Zip
71105-6800
Phone Number
318-222-3695
Fax Number
318-424-0717
person
Provider Business Mailing Address Details
Address
Po Box 51008
City
State
Zip
71135-1008
Phone Number
318-798-9400
Fax Number
318-213-7276
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
019833 (Louisiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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