SearchLouisiana207R00000X

Byron Jackson, MD

NPI 1821167263 · on the registry since 2006 · sole proprietor

Practice

Address
653 W 70th St
Shreveport, LA 71106
Phone
(318) 636-8389
Fax
(318) 636-8389
Clinicians at this address
7

Additional practice sites

  • 745 Olive St, Shreveport, LA

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-14

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