NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1770005423 | MECOM | HEATHER | KRAMER |   | 1512 W KIRBY PL | SHREVEPORT | LA | 711033822 |
1770587537 | SCALTSAS | IRENE |   |   | 1455 E BERT KOUNS LOOP | SHREVEPORT | LA | 711055634 |
1073738936 | SPIKES | PAULA | NICOLE |   | 1455 E BERT KOUN LOOP # 200 | SHREVEPORT | LA | 711055634 |