Individual
CARTER VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
910 FAIRVIEW ST, SHREVEPORT, LA 71104-4230
(504) 251-7675
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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