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NPI Code Detail

MEDICARE: STEPHANIE ANN SOCKRIDER MD

MEDICARE: STEPHANIE ANN SOCKRIDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician025682LA

General Provider Information

NPI Number : 1952306177
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ANN SOCKRIDER MD
Provider Business Mailing Address
First Line : 8001 YOUREE DR
Second Line : STE 900
City : SHREVEPORT
State : LA
Zip : 71115-2326
Country : US
Telephone Number : 318-797-0101
Fax Number : 318-797-0010
Provider Business Practice Location Address
First Line : 8001 YOUREE DR
Second Line : STE 900
City : SHREVEPORT
State : LA
Zip : 71115-2326
Country : US
Telephone Number : 318-797-0101
Fax Number : 318-797-0010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/08/2007

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Directions to “ STEPHANIE ANN SOCKRIDER MD” Practice Location

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