MR. Myron B Douglas SR.
NPI #1144900572 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1144900572
- Entity Type
- Individual
- Name
- MR. Myron B Douglas SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 20, 2023
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 406 BRUSHY BAYOU BLVD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-6900
- Phone
- (318) 470-3585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
| Non-emergency Medical Transport (VAN) |
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