institution
Red River Army Depot
Military Health Care Provider in Shreveport, Louisiana
NPI 1336340777

Red River Army Depot is a Military Health Care Provider based in Shreveport, LA. Red River Army Depot practices in Shreveport, LA. The NPI Number for Red River Army Depot is 1336340777 and holds a License No. 13698 (Louisiana).

The current practice location address for Red River Army Depot is 9403 Evergreen Dr, Shreveport, LA and can be reached out via phone at 318-393-2243.

Location: 9403 Evergreen Dr, Shreveport, LA, 71118
institution
Provider Profile Details
NPI Number
1336340777
Provider Name
Red River Army Depot
Credential
Provider Entity Type
Organization
Address
9403 Evergreen Dr, Shreveport, LA, 71118
Phone Number
318-393-2243
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9403 Evergreen Dr
City
State
Zip
71118-3935
Phone Number
318-393-2243
Fax Number
person
Provider Business Mailing Address Details
Address
9403 Evergreen Dr
City
State
Zip
71118-3935
Phone Number
318-393-2243
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
13698 (Oklahoma)
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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