Doctor Name: | DONALD RAY SPEARMAN |
NPI Number: | 1801122189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3200 Hollywood Ave Shreveport, LA - 711083620 |
Business Phone Number: | 3187800350 |
Business Fax Number: | 3185251075 |
Mailing Address: | 6509 Long Timbers Dr, SHREVEPORT |
State: | LA |
Postal Code: | 711193407 |
Phone Number: | 3187800350 |
Fax Number: | 3185251075 |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |