ProviderBusinessMailingAddressFaxNumber = '3186294808'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114454659 | ARDOIN | MARK | JOSEPH | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1598253965 | AREVALO ESPEJO | OCTAVIO DE JESUS | | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1790138808 | BHAYANI | SHAHZEEM | TAJUDDIN | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1770005423 | MECOM | HEATHER | KRAMER | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1295141968 | MOTAYAR | NASIM | | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1023614559 | MULLONE | KERRI | ANNETTE | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1467049668 | OLDEN | DEREK | RAY | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1124325006 | PRIME | JEREMY | PAUL | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1225442254 | RAMADAS | POORNIMA | | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1851810709 | RUSHING | KATIE | JOHNSON | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1386637205 | SAVOIE | TIMOTHY | JUDE | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1104846989 | SITTIG | KEVIN | MARK | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
| 1457955338 | SMIDT | AMANDA | | | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
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