Most Relevant Information
Provider Data
| NPI Number: | 1003317652 |
| Provider Name: | DEMARKUS WEBB |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/27/2018 |
| Last Updated: | 05/23/2018 |
Provider Practice Location
6117 NEWTON ABBOTT DR
SHREVEPORT
LA
71129
Practice Location Phone/Fax
| Phone: | 2142023072 |
| Fax: |
Provider Mailing Location
6117 NEWTON ABBOTT DR
SHREVEPORT
LA
711293910
Provider Mailing Phone/Fax
| Phone: | 2142023072 |
| Fax: |