| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1730553421 | ADEGBOYEGA | OMOSALEWA | 1541 KINGS HWY | SHREVEPORT | LA | 711034228 | ||
| 1154795839 | COLEMAN | SONYA | 1541 KINGS HWY | SHREVEPORT | LA | 711034228 | ||
| 1154797223 | HUMPHREY | D'ANDRA | 1541 KINGS HWY | SHREVEPORT | LA | 711034228 | ||
| 1679949531 | TOWNSEND | DIANA | 1541 KINGS HWY | SHREVEPORT | LA | 711034228 |