Healthcare Provider Details

I. General information

NPI: 1972484533
Provider Name (Legal Business Name): CHRISTOPHER DAVIS CAUSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GREENWOOD RD
SHREVEPORT LA
71103-3908
US

IV. Provider business mailing address

3820 FAIRFIELD AVE UNIT 40
SHREVEPORT LA
71104-4743
US

V. Phone/Fax

Practice location:
  • Phone: 318-212-4877
  • Fax: 318-212-4192
Mailing address:
  • Phone: 225-921-4075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: