Individual provider · Type 1 NPI

Ralph Willard Baucum Iii, MD

Cardiovascular Disease Physician · Shreveport, LA

NPI number 1295735793 Active

Practice location

1453 E Bert Koun Loop, Ste 112
Shreveport, LA 71105-6800

Fax (318) 424-0717

Mailing address

PO Box 51008
Shreveport, LA 71135-1008

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X019833 (LA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1295735793

Ralph Willard Baucum Iii, MD's National Provider Identifier is 1295735793, issued on Jul 26, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 30, 2017.