ARK LA TEX FOOT & ANKLE SPECIALISTS LLC NPI 1235168311

NPI Information

ARK LA TEX FOOT & ANKLE SPECIALISTS, LLC is a foot and ankle surgery podiatrist in Shreveport, LA. ARK LA TEX FOOT & ANKLE SPECIALISTS, LLC NPI is 1235168311. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ark La Tex Foot Specialists, Llc.

The provider's business location address is:

385 BERT KOUNS
BLDG. 200
SHREVEPORT, LA
ZIP 71106-158
Phone: (318) 687-8447
Fax: (318) 687-9950

The provider's authorized official is Gregory W. Bryan .
The authorized official title is Owner/manager and has the following contact phone number (318) 687-8447.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 2/27/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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