Organization
FRONTIER MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBIN HODGE GRIGSBY JR. (OWNER)
(318) 918-3268
Entity
Organization
Contact information
Practice address
340 FONTAINE ST, SHREVEPORT, LA 71105-4134
(318) 918-3268
Mailing address
340 FONTAINE ST, SHREVEPORT, LA 71105-4134
(318) 918-3268
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
04/16/2025
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