Individual
ROBERT L BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SHREVEPORT, LA 71115-2302
(318) 212-3870
Mailing address
PO BOX 4327, SHREVEPORT, LA 71134-0327
(318) 222-1149
(318) 425-2335
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L010967
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179566
—
LA
01
—
72106238001
TRICARE
LA
Enumeration date
06/09/2006
Last updated
11/20/2009
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