Organization
SHREVEPORT OXYGEN & RENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN T. MCFARLAIN (OWNER)
(318) 631-4755
Entity
Organization
Contact information
Practice address
5150 INTERSTATE DR., STE. 216, SHREVEPORT, LA 71109
(318) 631-4755
(318) 631-4211
Mailing address
5150 INTERSTATE DR., STE. 216, SHREVEPORT, LA 71109
(318) 631-4755
(318) 631-4211
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
09-0011094
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476668
—
LA
Enumeration date
06/20/2006
Last updated
09/30/2008
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