SearchLouisiana390200000X

Brian Primeaux

NPI 1164762191 · on the registry since 2013

Practice

Address
5610 Buncombe Rd
Apt. 1011
Shreveport, LA 71129
Phone
(337) 852-6386
Organisation at this address
His Grace Community Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-27

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