| Foot Specialists Of Shreveport Apmc | |
|
7821 Youree Drive, Shreveport, LA 71105 | |
| (318) 213-3668 | |
| (318) 213-3670 |
| Full Name | Foot Specialists Of Shreveport Apmc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 7821 Youree Drive, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710079306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Bryan Randolph |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649276007 PECOS PAC ID: 8729116595 Enrollment ID: I20100514000793 |
| Provider Name | Jerry Toups |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922004381 PECOS PAC ID: 7911037692 Enrollment ID: I20100607000164 |
| Provider Name | Rebecca A Mcgaha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962808097 PECOS PAC ID: 4880967652 Enrollment ID: I20170830002880 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot Specialists Of Shreveport Apmc 7821 Youree Drive, Shreveport, LA 71105 Ph: (318) 213-3668 | Foot Specialists Of Shreveport Apmc 7821 Youree Drive, Shreveport, LA 71105 Ph: (318) 213-3668 |
Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118 Phone: 318-687-6266 Fax: 318-683-1023 | |
Dr. Alaye Eldred Whyte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1718 Kings Hwy, Shreveport, LA 71103 Phone: 318-636-2669 Fax: 318-636-2663 | |
Dr. Frederick Jacques Hall, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 678-640-5685 | |
Dr. Dale Carlton Fazio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105 Phone: 318-797-3470 Fax: 318-797-9956 | |
Evetta Lavern Borden, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 912-977-0584 | |
Ark La Tex Foot & Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106 Phone: 318-687-8447 Fax: 318-687-9950 | |
Dr. Sheila D. Washington, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |