Individual
MARIO PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 MURRAY LN, SHREVEPORT, LA 71109-1709
(318) 200-3657
Mailing address
1415 MURRAY LN, SHREVEPORT, LA 71109-1709
(318) 200-3657
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/25/2021
Last updated
11/25/2021
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