SearchLouisiana101YM0800X

Matthew Craig

NPI 1063882678 · on the registry since 2015 · sole proprietor

Practice

Address
1024 Quail Creek Rd Apt 204
Shreveport, LA 71105
Phone
(318) 703-7740

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171W00000X
171W00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana