Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Charles L. Black Jr MD Surgical Clinic Corp

Organization Surgery Physician · NPI 1952442832

Charles L. Black Jr MD Surgical Clinic Corp provides Surgery Physician services in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1534 Elizabeth Ave Ste 202
Shreveport, LA 71101-4516 Not confirmed with CMS for 19 years — call before visiting
Phone: (318) 221-0166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 011576 (LA)

Record details

NPI number1952442832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Black — Owner · (318) 221-0166
NPI enumeratedFebruary 12, 2007
Last updated in NPPESSeptember 14, 2007
Mailing address1534 Elizabeth Ave, Suite 202, Shreveport, LA 71101-4516

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