| Ark La Tex Foot & Ankle Specialists, Llc | |
|
385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | |
| (318) 687-8447 | |
| (318) 687-9950 |
| Full Name | Ark La Tex Foot & Ankle Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 385 Bert Kouns, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235168311 | NPI | - | NPPES |
| 1706736 | Medicaid | LA | |
| DE9683 | Other | LA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PD067R / PD207R (Louisiana) | Primary |
| Provider Name | Richard B Drummond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437126786 PECOS PAC ID: 7214943513 Enrollment ID: I20060224000022 |
| Provider Name | Gregory W Bryan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528035888 PECOS PAC ID: 9830193077 Enrollment ID: I20060901000015 |
| Provider Name | William K Andress |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417316258 PECOS PAC ID: 0749570588 Enrollment ID: I20160607000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Ark La Tex Foot & Ankle Specialists, Llc 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 Ph: (318) 687-8447 | Ark La Tex Foot & Ankle Specialists, Llc 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 Ph: (318) 687-8447 |
Southside Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118 Phone: 318-687-6266 Fax: 318-683-1023 | |
Dr. Alaye Eldred Whyte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1718 Kings Hwy, Shreveport, LA 71103 Phone: 318-636-2669 Fax: 318-636-2663 | |
Dr. Frederick Jacques Hall, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 678-640-5685 | |
Dr. Dale Carlton Fazio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105 Phone: 318-797-3470 Fax: 318-797-9956 | |
Evetta Lavern Borden, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 912-977-0584 | |
Dr. Sheila D. Washington, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |