Healthcare Provider Details

I. General information

NPI: 1275584856
Provider Name (Legal Business Name): BROWN-FOLSE RADIOLOGY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 RICHARDSON RD
CALHOUN LA
71225-9440
US

IV. Provider business mailing address

1240 RICHARDSON RD
CALHOUN LA
71225-9440
US

V. Phone/Fax

Practice location:
  • Phone: 210-389-2338
  • Fax: 210-614-7103
Mailing address:
  • Phone: 210-389-2338
  • Fax: 210-614-7103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CRAIG P. FOLSE
Title or Position: CEO
Credential: M.D.
Phone: 318-644-4401