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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEWAYNE BRICKER, PA-C

Active

MR. DEWAYNE BRICKER, PA-C is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1790870897 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SHREVEPORT, LA

Registration Details

NPI Number
1790870897
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.715285707583 yrs)
Last Updated
Apr 26, 2013
Licenses
PA 03866 (TX)
PA.A10376.RX (LA)

Practice Information

Address
1460 E BERT KOUNS LOOP
SHREVEPORT, LA, 711055644
Browse LA providers · Browse ZIP 71105
Phone
3187972955
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SHREVEPORT, LA

Name Credential NPI
DONNA TERRY PA-C 1104823947
KIMBERLY E MEYER PA-C 1760475651
KENNETH BETZING PA-C 1053304048
MARY ALEXIS K GREEN PA-C 1366436487
MRS. LORI A STACKOW PAC 1467449835
MR. MARVIN KEITH RAINWATER PA 1457310773
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.