person
Mr. Brian Keith Fontenot, PA-C
Medical Physician Assistant in Shreveport, Louisiana
NPI 1790228013

Brian Keith Fontenot is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. Brian Keith Fontenot practices in Shreveport, LA and has the professional credentials of PA-C. The NPI Number for Brian Keith Fontenot is 1790228013 and holds a License No. 303880 (Louisiana).

The current practice location address for Brian Keith Fontenot is 2751 Albert L Bicknell Dr Ste 5C, Shreveport, LA and can be reached out via phone at 318-227-9777 and via fax at 318-459-1188. You can also correspond with Brian Keith Fontenot through the mailing address at 2751 ALBERT L BICKNELL DR STE 5C, SHREVEPORT, LA - 71103-3943 (mailing address contact number: 318-227-9777).

Location: 2751 Albert L Bicknell Dr Ste 5C, Shreveport, LA, 71103-3943
person
Provider Profile Details
NPI Number
1790228013
Provider Name
Brian Keith Fontenot
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2751 Albert L Bicknell Dr Ste 5C, Shreveport, LA, 71103-3943
Phone Number
318-227-9777
Fax Number
318-459-1188
Provider Enumeration Date
11/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2751 Albert L Bicknell Dr Ste 5C
City
State
Zip
71103-3943
Phone Number
318-227-9777
Fax Number
318-459-1188
person
Provider Business Mailing Address Details
Address
2751 Albert L Bicknell Dr Ste 5C
City
State
Zip
71103-3943
Phone Number
318-227-9777
Fax Number
318-459-1188
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
303880 (Louisiana)
Definition
Definition to come...
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