Most Relevant Information
Provider Data
| NPI Number: | 1003310087 |
| Provider Name: | RAYMOND FITZGERALD HAMPTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2018 |
| Last Updated: | 07/14/2018 |
Provider Practice Location
7505 PINES RD STE 1200I
SHREVEPORT
LA
71129
Practice Location Phone/Fax
| Phone: | 3187161707 |
| Fax: |
Provider Mailing Location
701 MCMULLEN ST
MINDEN
LA
710555507
Provider Mailing Phone/Fax
| Phone: | 6623224534 |
| Fax: |