NPI 1093641615

Harry Carmack

Practitioner Contractor Shreveport, LA

Practice location

Address: 2911 Frederick St, Shreveport, LA 71109-3511
Phone: (318) 906-5054

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 008105720 (LA)

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Registry record

NPI: 1093641615
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2026
Record last updated: 22 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.