person
Deangelo Brooks
Military Health Care Provider in Shreveport, Louisiana
NPI 1114495603

Deangelo Brooks is a Military Health Care Provider based in Shreveport, LA. Deangelo Brooks practices in Shreveport, LA. The NPI Number for Deangelo Brooks is 1114495603 and holds a License No. (Louisiana).

The current practice location address for Deangelo Brooks is 1105 Island Park Blvd Apt 1126, Shreveport, LA and can be reached out via phone at 318-404-7134. You can also correspond with Deangelo Brooks through the mailing address at 5720 S LAKESHORE DR APT 605, SHREVEPORT, LA - 71119-3930 (mailing address contact number: 318-404-7134).

Location: 1105 Island Park Blvd Apt 1126, Shreveport, LA, 71119-3930
person
Provider Profile Details
NPI Number
1114495603
Provider Name
Deangelo Brooks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1105 Island Park Blvd Apt 1126, Shreveport, LA, 71119-3930
Phone Number
318-404-7134
Fax Number
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 Island Park Blvd Apt 1126
City
State
Zip
71105-4783
Phone Number
318-404-7134
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Island Park Blvd Apt 1126
City
State
Zip
71105-4783
Phone Number
318-404-7134
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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