Search › Louisiana › 363A00000X
Dewayne Bricker, PA-C
NPI 1790870897 · on the registry since 2006
Practice
- Address
- 1460 E Bert Kouns Loop
Shreveport, LA 71105 - Phone
- (318) 797-2955
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-26
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