Individual
HAROLD GLENN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
856 TEXAS AVE, SHREVEPORT, LA 71101-3400
(318) 429-6938
(318) 227-6179
Mailing address
856 TEXAS AVE, SHREVEPORT, LA 71101-3400
(318) 429-6934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417252230
—
LA
Enumeration date
12/01/2015
Last updated
03/19/2021
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