Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bundrick and O'Neal Plastic Surgery (Amc)

Organization Plastic Surgery Physician · NPI 1093776429

Bundrick and O'Neal Plastic Surgery (Amc) is a Plastic Surgery Physician in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2210 Line Ave Ste 204
Shreveport, LA 71104-2152
Phone: (318) 221-9671
Fax: (318) 425-2343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1093776429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Patterson — Office Manager · (318) 221-9671
NPI enumeratedMarch 28, 2006
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address2210 Line Ave, Suite 204, Shreveport, LA 71104-2152

Other providers in Shreveport