NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1760043491 |   |   |   | WK PREFERRED PEDIATRICS | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1780048587 | EDWARDS | ELISE | FONTENOT |   | 2300 HOSPITAL DR STE 120 | BOSSIER CITY | LA | 711112193 |
1295199016 | WHITE | RANDALL | GLEN |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |
1477971885 | WILSON | ROBERT | BORDEN |   | 1202 LOUISIANA AVE | SHREVEPORT | LA | 711013910 |