Healthcare Provider Details
I. General information
NPI: 1154257897
Provider Name (Legal Business Name): DM MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3662 W OAK ST
JENA LA
71342-4474
US
IV. Provider business mailing address
6205 TENNYSON OAKS LN
ALEXANDRIA LA
71301-2759
US
V. Phone/Fax
- Phone: 318-495-2273
- Fax: 318-374-4013
- Phone: 318-792-4198
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DEEPAK
SHARMA
Title or Position: MANAGER
Credential: MD
Phone: 318-792-4198