# OVERTON BROOKS VA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265523997
- **Authorized official:** MR. ROBERT F. HALL M.S., CCC-A (AUDIOLOGY COORDINATOR)
- **Authorized official phone:** (318) 424-6090

## Contact information

- **Practice address:** 510 E STONER AVE \# 126, SHREVEPORT, LA 71101-4243
- **Practice address phone:** (318) 424-6090
- **Mailing address:** 510 E STONER AVE \# 126, SHREVEPORT, LA 71101-4243
- **Mailing address phone:** (318) 424-6090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 5691 | LA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020