NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053331934 | MISRA | PRAPHUL |   |   | 1501 KINGS HWY | SHREVEPORT | LA | 711034228 |
1255351128 | REDDY | PRATAP | CHANDUPATLA |   | 1501 KINGS HWY | SHREVEPORT | LA | 711034228 |
1922360726 | TELLES GARCIA | NELSON | ALBERTO |   | 1501 KINGS HWY | SHREVEPORT | LA | 71103 |