MEDICARE: ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1609587997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	8731 PARK PLAZA DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5682
Country	:	US
Telephone Number	:	318-797-5848
Fax Number	:	318-797-5844

Provider Business Practice Location Address
First Line	:	1549 E 70TH ST STE 300
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5056
Country	:	US
Telephone Number	:	318-300-3898
Fax Number	:	318-797-4241

Authorized Official
Title or Position	:	MANAGER
Name	:	NICOLE YOAKUM
Credential	:
Telephone Number	:	318-797-5848

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	04/21/2025

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Directions to “ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION ” Practice Location

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