NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1023630969 |   |   |   | EAST TEXAS BORDER HEALTH CLINIC | PO BOX 1326 | MARSHALL | TX | 756711326 |
1780044834 | BROUILLETTE | GARY | REED |   | PO BOX 1326 | MARSHALL | TX | 756711326 |
1770237752 | HICKS | JASMINE |   |   | PO BOX 1326 | MARSHALL | TX | 756711326 |
1124163191 | LOPEZ | DAVID | C |   | 1 SAINT MARY PL | SHREVEPORT | LA | 711014343 |