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Dakota Boston, MD
Student in an Organized Health Care Education/Training Program in Shreveport, Louisiana
NPI 1962899971

Dakota Boston is a Student in an Organized Health Care Education/Training Program based in Bossier City, LA. Dakota Boston practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Dakota Boston is 1962899971 and holds a License No. MD.307727 (Louisiana).

The current practice location address for Dakota Boston is 1811 E Bert Kouns Industrial Loop Ste 480, Shreveport, LA and can be reached out via phone at 318-212-2810 and via fax at 318-212-2818. You can also correspond with Dakota Boston through the mailing address at 2449 HOSPITAL DR STE 400, BOSSIER CITY, LA - 71111-1914 (mailing address contact number: 182-127-9023).

Location: 1811 E Bert Kouns Industrial Loop Ste 480, Shreveport, LA, 71111-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962899971
Provider Name
Dakota Boston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1811 E Bert Kouns Industrial Loop Ste 480, Shreveport, LA, 71111-1914
Phone Number
318-212-2810
Fax Number
318-212-2818
Provider Enumeration Date
04/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2387928 05 LA
institution
Provider Business Practice Location Address Details
Address
1811 E Bert Kouns Industrial Loop Ste 480
City
Shreveport
State
Louisiana
Zip
71105-5765
Phone Number
318-212-2810
Fax Number
318-212-2818
person
Provider Business Mailing Address Details
Address
1811 E Bert Kouns Industrial Loop Ste 480
City
Shreveport
State
Louisiana
Zip
71105-5765
Phone Number
318-212-2810
Fax Number
318-212-2818
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
MD.307727 (Louisiana)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD.307727 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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