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

Mr. Marvin Keith Rainwater, PA

Individual provider Physician Assistant · NPI 1457310773

Mr. Marvin Keith Rainwater, PA is a Physician Assistant in Shreveport, Louisiana. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
Show map & directions

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

Additional practice locations (1)

  • 105 Hanes Square Cir, Winston Salem, NC 27103-5514 — (336) 441-5569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 322314 (LA)

Record details

NPI number1457310773
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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