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

Mr. Myron B Douglas Sr.

Individual provider Non-Pharmacy Dispensing Site · NPI 1144900572

Mr. Myron B Douglas Sr. is a Non-Pharmacy Dispensing Site in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

406 Brushy Bayou Blvd
Shreveport, LA 71106-6900
Phone: (318) 470-3585
Show map & directions

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

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X (LA)
Non-Pharmacy Dispensing Site Taxonomy 332900000X (LA)

Record details

NPI number1144900572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

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