Individual
DYLAN DON HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
337620
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
337620
LA
207RP1001X
Pulmonary Disease Physician
Primary
337620
LA
Other
Enumeration date
04/05/2016
Last updated
05/02/2024
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