Red River Army Depot
NPI #1336340777 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1336340777
- Entity Type
- Organization
- Organization Name
- Red River Army Depot
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- May 31, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9403 EVERGREEN DR
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71118-3935
- Phone
- (318) 393-2243
Authorized Official
- Name
- DR. TROY ROSS, M.D.
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (903) 334-2155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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