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Deborah Susan Hollis, PA-C
Medical Physician Assistant in Shreveport, Louisiana
NPI 1871586784

Deborah Susan Hollis is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. Deborah Susan Hollis practices in Shreveport, LA and has the professional credentials of PA-C. The NPI Number for Deborah Susan Hollis is 1871586784 and holds a License No. PA.A10355.RX (Louisiana).

The current practice location address for Deborah Susan Hollis is 1455 E Bert Kouns Loop, Shreveport, LA and can be reached out via phone at 318-798-4623 and via fax at 318-798-4591.

Location: 1455 E Bert Kouns Loop, Shreveport, LA, 71105-5634
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Provider Profile Details
NPI Number
1871586784
Provider Name
Deborah Susan Hollis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1455 E Bert Kouns Loop, Shreveport, LA, 71105-5634
Phone Number
318-798-4623
Fax Number
318-798-4591
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00090026 01 LA RAILROAD MEDICARE NUMBER
1625221 05 LA
institution
Provider Business Practice Location Address Details
Address
1455 E Bert Kouns Loop
City
State
Zip
71105-5634
Phone Number
318-798-4623
Fax Number
318-798-4591
person
Provider Business Mailing Address Details
Address
1455 E Bert Kouns Loop
City
State
Zip
71105-5634
Phone Number
318-798-4623
Fax Number
318-798-4591
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.A10355.RX (Louisiana)
Definition
Definition to come...
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