Dr. Richard Taylor Havens, DPM
Podiatrist in Shreveport, LA. Individual provider (NPI-1).
NPI number1285643908
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1285643908
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Taylor Havens
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Aug 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | PDR073R | LA | Yes |
Practice location
9308 Mansfield Rd Ste 100Shreveport, LA 71118-3134
Phone 318-687-6266 · Fax 318-683-1023
Mailing address
9308 Mansfield RdSte 100
Shreveport, LA 71118-3160
Phone 318-687-6266 · Fax 318-683-1023
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All 14 Podiatrist providers in Shreveport · All 11,081 providers in Shreveport
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