NPI 1780665828 · live from the CMS NPI Registry
Jefferey D Adair, MD
Pain Medicine, Interventional Pain Medicine in Shreveport, LA. National Provider Identifier 1780665828, active.
NPI record
| NPI | 1780665828 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 1455 E Bert Kouns Industrial Loop Ste 314, Shreveport, LA 71105 |
| Practice phone | 318-798-4448 |
| Mailing address | Po Box 837, Howe, TX 75459 |
| Enumerated | November 7, 2005 |
| Last updated | July 2, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | MD020437 (LA) |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | 020437 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.