Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN KEITH FONTENOT, PA-C
ActiveMR. BRIAN KEITH FONTENOT, PA-C is a Medical Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1790228013 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1790228013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2016 (9.7767695651606 yrs)
- Last Updated
- Jul 12, 2021
- License
-
303880 (LA)
Practice Information
- Address
-
2751 ALBERT L BICKNELL DR STE 5CSHREVEPORT, LA, 711033943Browse LA providers · Browse ZIP 71103
- Phone
- 3182279777
- Fax
- 3184591188
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MARY MCFERREN | PA-C | 1114924404 |
| DEBORAH SUSAN HOLLIS | PA-C | 1871586784 |
| MRS. JEANNIE SHIM MCALLISTER | PA-C | 1831172931 |
| MR. DAVID STANLEY STATON | PA-C | 1487616538 |
| SHIVA DOTY | PA-C | 1912933110 |
| TINA FAITH GENTRY | PA | 1730118365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.