NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902950363 | AYCOCK | RICHARD | A |   | PO BOX 32600 | SHREVEPORT | LA | 711302600 |
1427187111 | EASTERLING | DAVID | R |   | PO BOX 32600 | SHREVPORT | LA | 711302600 |
1649309345 | FELTY | JOHN | J |   | PO BOX 32600 | SHREVEPORT | LA | 711302600 |
1215094040 | GALLAGHER | PATRICK | TIMOTHY |   | 2049 PEPPER RIDGE DR | SHREVEPORT | LA | 711159412 |