| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700239241 | DUNKLEY | GLORIA | 202 N VINE ST | BASTROP | LA | 712203749 | ||
| 1538513023 | HENDERSON | YOLANDA | 202 N VINE ST | BASTROP | LA | 712203749 | ||
| 1720300841 | SMITH | LASHANDRA | JENE | 202 N VINE ST | BASTROP | LA | 712203749 |