Individual
ANTONIO O BURNS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 SENECA TRL, SHREVEPORT, LA 71107-5461
(318) 977-0911
Mailing address
401 SENECA TRL, SHREVEPORT, LA 71107-5461
(318) 977-0911
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
43238060
TX
Other
Enumeration date
10/17/2022
Last updated
04/29/2026
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