Individual
DR. LARRY CLYDE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 JORDAN ST, SHREVEPORT, LA 71101-4847
(318) 779-2417
Mailing address
350 JORDAN STREET, SHREVEPORT, LA 71101
(318) 779-2417
(318) 742-8646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06282R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1352896
—
LA
Enumeration date
08/31/2006
Last updated
11/15/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us