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

Charles L. Black Jr MD Surgical Clinic Corp

Organization Surgery Physician · NPI 1952442832

Charles L. Black Jr MD Surgical Clinic Corp is a Surgery Physician 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1534 Elizabeth Ave Ste 202
Shreveport, LA 71101-4516
Phone: (318) 221-0166
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Shreveport