Individual
MR. BRIAN K THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 MOCKINGBIRD LN, SHREVEPORT, LA 71105-4322
(318) 840-2209
Mailing address
542 MOCKINGBIRD LN, SHREVEPORT, LA 71105-4322
(318) 840-2209
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201131
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
201131
LA
Other
Enumeration date
07/22/2024
Last updated
12/30/2025
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