=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588840888
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CATHERINE FLORENCE VANDERLOOS MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2008
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2508 BERT KOUNS INDUSTRIAL LOOP SUITE 400
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71118-3133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-687-1991
-----------------------------------------------------
Fax | 318-687-1993
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2508 BERT KOUNS INDUSTRIAL LOOP STE 400
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71118-3154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-687-1991
-----------------------------------------------------
Fax | 318-687-1993
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 07702R
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------