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General NPI Number Information
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NPI Number | 1811973431
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Entity Type | Individual
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Provider Name | DEBRA P CLINE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 2600 KINGS HWY STE 420
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City | SHREVEPORT
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State | LA
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Zip | 71103-3950
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Country | US
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Telephone | 318-212-8727
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Fax | 318-212-8771
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Provider Business Mailing Address
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Address Line | 1315 FOREST CREEK DR
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City | SHREVEPORT
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State | LA
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Zip | 71115-9548
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Country | US
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Telephone | 318-798-8273
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD.021956
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License Number State | LA
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