Search › Louisiana › 343900000X
Myron Douglas
NPI 1144900572 · on the registry since 2023 · sole proprietor
Practice
- Address
- 406 Brushy Bayou Blvd
Shreveport, LA 71106 - Phone
- (318) 470-3585
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 332900000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-20
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