| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1477129211 | COOK | ZACHORY | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 | ||
| 1679149496 | TISDALE | SHARLA | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 | ||
| 1770172876 | WASHINGTON | LETERINA | 2285 BENTON RD STE D103 | BOSSIER CITY | LA | 711113465 |