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

Forrest P Wall, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1699758474

Forrest P Wall, MD is a Plastic and Reconstructive Surgery in Shreveport, Louisiana. Graduated from University of Texas Medical Branch at Galveston in 1992, 34 years ago. Licensed in Louisiana.

Years since qualifying
34
Trained at
University of Texas Medical Branch at Galveston
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

385 Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71106-8159
Phone: (318) 221-1629
Fax: (318) 221-6308
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 10089R (LA)

Record details

NPI number1699758474
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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