RED RIVER ARMY DEPOT

SHREVEPORT, LA
NPI1336340777
Entity TypeOrganization
Authorized ContactTROY ROSS
Chief Medical Officer
903-334-2155
Organization Subpart ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: OK  13698)
Enumeration Date2007-05-31
Last Update Date2020-08-22
Business Address
RED RIVER ARMY DEPOT
9403 EVERGREEN DR
SHREVEPORT, LA 71118-3935
Phone number: 318-393-2243
Mailing Address
RED RIVER ARMY DEPOT
9403 EVERGREEN DRIVE
SHREVEPORT, LA 71118
Phone number: 318-393-2243
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