Red River Army Depot

LBN: Red River Army Depot
Red River Army Depot is an health care organization with primary practice located at 9403 Evergreen Dr , Shreveport LA 71118-3935. The organization recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as the primary health care specialty. Red River Army Depot can be contacted via phone (318) 393-2243, or through Ross, Troy via phone (903) 334-2155.

Contact Information

Primary practice address
9403 Evergreen Dr Shreveport LA 71118-3935
Phone: (318) 393-2243
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ross, Troy Doctor of Medicine (MD)
Phone: (903) 334-2155

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 13698 Oklahoma

Profile Details

NPI number 1336340777
LBN Legal business name Red River Army Depot
DBA Doing business as
Authorized official Ross, Troy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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