Healthcare Provider Details

I. General information

NPI: 1023937331
Provider Name (Legal Business Name): RANDI SCHULTE HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2861 BEENE BLVD
BOSSIER CITY LA
71111-5575
US

IV. Provider business mailing address

2709 BARRON RD
KEITHVILLE LA
71047-7335
US

V. Phone/Fax

Practice location:
  • Phone: 318-606-6171
  • Fax:
Mailing address:
  • Phone: 318-606-6171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1347
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: