NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1083606040 | BRANDHURST | ROY |   |   | PO BOX 32600 | SHREVEPORT | LA | 711302600 |
1902898992 | DAVIS | JERRY | ELDON |   | PO BOX 32600 | SHREVEPORT | LA | 711302600 |
1346395977 | MOORE | SHARON | E. |   | PO BOX 1771 | KILDARE | TX | 755621771 |
1609868892 | PAUL | EDWARD |   |   | PO BOX 32600 | SHREVEPORT | LA | 711302600 |
1740453778 | TULBERT | BRIAN | WESLEY |   | 407 ST. CHARLES BLVD | SHREVEPORT | LA | 71106 |