Individual provider · Type 1 NPI
Brian Keith Fontenot, PA-C
Medical Physician Assistant · Shreveport, LA
NPI number
1790228013
Active
Practice location
2751 Albert L Bicknell Dr Ste 5C
Shreveport, LA 71103-3943
Fax (318) 459-1188
Other practice locations
- 6701 Fannin St, Houston, TX 77030-2608 · (832) 824-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 303880 (LA) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Amanda Marie Davis, AGACNP-BCAcute Care Nurse Practitioner Shreveport, LA NPI 1700401908
- April Chase, ACNPC-AGAcute Care Nurse Practitioner Shreveport, LA NPI 1437774635
- Darien Ashton PaoneThoracic Surgery (Cardiothoracic Vascular Surgery) Physician Shreveport, LA NPI 1902302524
- Garrett WilliamsPhysician Assistant Shreveport, LA NPI 1043946155
Other medical physician assistant providers in Shreveport
- Heidi E. Wimberly, PA-CMedical Physician Assistant Shreveport, LA NPI 1083797245
- Mary McFerren, PA-CMedical Physician Assistant Shreveport, LA NPI 1114924404
- Holly Gaines Scurlock, PA-CMedical Physician Assistant Shreveport, LA NPI 1134469463
- Richard W. Ross, PAMedical Physician Assistant Shreveport, LA NPI 1225148885
- Claire Hammond, PAMedical Physician Assistant Shreveport, LA NPI 1245661487
- Annie Kay Jarrett, PA-CMedical Physician Assistant Shreveport, LA NPI 1295751964
- Kirsti Nicole Peavy, PAMedical Physician Assistant Shreveport, LA NPI 1417284373
- Nicolette Denee Shafto, PAMedical Physician Assistant Shreveport, LA NPI 1417325218
About NPI 1790228013
Brian Keith Fontenot, PA-C's National Provider Identifier is 1790228013, issued on Nov 18, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shreveport, LA. The record was last updated on Jul 12, 2021.