person
Mr. Myron B Douglas SR.
Non-emergency Medical Transport (VAN) in Shreveport, Louisiana
NPI 1144900572

Myron B Douglas SR. is a Non-emergency Medical Transport (VAN) based in Shreveport, LA. Myron B Douglas SR. practices in Shreveport, LA. The NPI Number for Myron B Douglas SR. is 1144900572 and holds a License No. (Louisiana).

The current practice location address for Myron B Douglas SR. is 406 Brushy Bayou Blvd, Shreveport, LA and can be reached out via phone at 318-470-3585. You can also correspond with Myron B Douglas SR. through the mailing address at 406 BRUSHY BAYOU BLVD, SHREVEPORT, LA - 71106-6900 (mailing address contact number: 318-470-3585).

Location: 406 Brushy Bayou Blvd, Shreveport, LA, 71106-6900
person
Provider Profile Details
NPI Number
1144900572
Provider Name
Myron B Douglas SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
406 Brushy Bayou Blvd, Shreveport, LA, 71106-6900
Phone Number
318-470-3585
Fax Number
Provider Enumeration Date
07/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
406 Brushy Bayou Blvd
City
State
Zip
71106-6900
Phone Number
318-470-3585
Fax Number
person
Provider Business Mailing Address Details
Address
406 Brushy Bayou Blvd
City
State
Zip
71106-6900
Phone Number
318-470-3585
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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