| Gentry Haughton, Llc | |
|
1505 E Bert Koun Loop, Suite 101, Shreveport, LA 71105-5723 | |
| (318) 519-7555 | |
| Not Available |
| Full Name | Gentry Haughton, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1505 E Bert Koun Loop, 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 |
|---|---|---|---|
| 1881009595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DPM.200048 (Louisiana) | Primary |
| Provider Name | Gentry Lee Haughton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316171358 PECOS PAC ID: 1153592852 Enrollment ID: I20110928000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Gentry Haughton, Llc Po Box 5237, Shreveport, LA 71135-5237 Ph: (318) 798-4539 | Gentry Haughton, Llc 1505 E Bert Koun Loop, Suite 101, Shreveport, LA 71105-5723 Ph: (318) 519-7555 |
Southside Foot Clinic 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 |