Healthcare Provider Details

I. General information

NPI: 1255382123
Provider Name (Legal Business Name): PHYSICIAN'S CHOICE HOME MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 DOCTORS DR
BOSSIER CITY LA
71111-3321
US

IV. Provider business mailing address

1330 SHREVEPORT BARKSDALE HWY
SHREVEPORT LA
71105-2408
US

V. Phone/Fax

Practice location:
  • Phone: 318-746-6288
  • Fax: 318-746-7911
Mailing address:
  • Phone: 318-746-6288
  • Fax: 318-746-7911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number080011399
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CLAUDE N FRIESLAND JR.
Title or Position: PRESIDENT/CEO
Credential:
Phone: 318-746-6288