Organization
OVERTON BROOKS VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOC XUAN NGUYEN M.D. (CHIEF OF SERVICE)
(318) 424-6014
Entity
Organization
Contact information
Practice address
510 E STONER AVE, 117, SHREVEPORT, LA 71101-4243
(318) 424-6014
(318) 429-5727
Mailing address
510 E STONER AVE, 117, SHREVEPORT, LA 71101-4243
(318) 424-6014
(318) 429-5727
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
J 3173
TX
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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