Roy Braswell, M.D.
Emergency Medicine in Monroe, LA. Individual provider (NPI-1).
NPI number1619987690
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619987690
- Entity type
- Individual (NPI-1)
- Name
- Roy Braswell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 06140R | LA | Yes |
Practice location
4864 Jackson StDepartment Of Emergency Medical Services
Monroe, LA 71202-6400
Phone 318-675-7737 · Fax 318-675-5666
Mailing address
1501 Kings HwyManaged Care
Shreveport, LA 71103-4228
Phone 318-675-7737 · Fax 318-675-5666
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