Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Calvin

Individual provider Other Technician · NPI 1700748159

Ethan Calvin is an Other Technician in Bossier City, Louisiana. Works from 2 locations. Licensed in Arkansas, Louisiana and Texas.

Licensed in
AR, LA, TX
In the registry since
2025
Specialties on file
3

Practice location Address checks out

2161 Airline Dr Ste B
Bossier City, LA 71111-3172
Phone: (318) 746-6288
Fax: (318) 746-7911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 805 Kings Way, Wake Village, TX 75501-5775 — (903) 831-7424

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 100599 (LA)
Other Technician Taxonomy 247200000X · Licence 100599 (TX)
Other Technician Taxonomy 247200000X · Licence 100599 (AR)

Record details

NPI number1700748159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address1509 Doctors Dr, Bossier City, LA 71111-3321

Other providers in Bossier City