Dr. MARIO H LOBAO GONCALVES MD
Individual Provider (NPI-1)
Active
Orthopaedic Surgery, Sports Medicine
Provider Information
- NPI Number
1063922573- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1541 KINGS HWY, SHREVEPORT, LA, 711034228
- Phone
- (318) 626-0000
Specialties & Taxonomies
Orthopaedic Surgery, Sports Medicine
Primary License: LA #328121
Orthopaedic Surgery
License: LA #328121
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
License: LA #328121
Orthopaedic Surgery, Orthopaedic Trauma
License: LA #328121
All Addresses
MAILING
1541 KINGS HWY ATTN: PAYOR CREDENTIALING
SHREVEPORT, LA, 711034228