OVERTON BROOKS VA NPI 1548404361

NPI Information

OVERTON BROOKS VA is a military hospital in Shreveport, LA. The provider is a health care facility operated by the Department of Defense. OVERTON BROOKS VA NPI is 1548404361. The provider is registered as an organization entity type.

The provider's business location address is:

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101-243
Phone: (318) 221-8411

The provider's authorized official is Waylon Malmay .
The authorized official title is Radiation Therapist and has the following contact phone number (318) 332-1589.

The CLIA number assigned to this NPI record is 19D0987270 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.