NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457387508 |   |   |   | WILLIS KNIGHTON MEDICAL CENTER INC. | 8001 YOUREE DR | SHREVEPORT | LA | 711152302 |
1598794612 |   |   |   | WILLIS-KNIGHTON MEDICAL CENTER MICHELLE SELF MD | 8001 YOUREE DR | SHREVEPORT | LA | 711152302 |
1093015885 | BASS | KRISTEN | RUTH |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1811518780 | BLANKENSHIP | SARA | AMEND |   | 1811 E BERT KOUN LOOP STE 400 | SHREVEPORT | LA | 711055764 |
1245205335 | CARR | RUSSELL | SHANE |   | 1811 E BERT KOUNS INDUSTRIAL LOOP | SHREVEPORT | LA | 711055740 |
1114244613 | CROW | MARY | CHUMBLEY |   | 1811 E BERT KOUNS INDUSTRIAL LOOP | SHREVEPORT | LA | 711055740 |
1386670917 | FLAKE | LARRY | LUCAS |   | 8001 YOUREE DR | SHREVEPORT | LA | 711152302 |
1487681730 | MOSES | WENDY | MCBRIDE |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1104830306 | PALMER | APRIL | CALLAWAY |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1023047149 | SELF | SUSAN | MICHELLE |   | 8001 YOUREE DR | SHREVEPORT | LA | 711152302 |