Nawas, Wally R

Nawas, Wally R is an individual health care provider with primary practice located at 2300 Hospital Drive Suite 140, Bossier City LA 71111-2157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nawas, Wally R can be contacted via phone (318) 746-2020.

Contact Information

Primary practice address
2300 Hospital Drive Suite 140 Bossier City LA 71111-2157
Phone: (318) 746-2020
Fax: (318) 741-3508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 024997 Louisiana

Profile Details

NPI number 1518936376
LBN Legal business name Nawas, Wally R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Sep 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518936376 NPPES
Louisiana MEDICAID 1423551
Louisiana MEDICAID 1423351

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