NPI 1124762802
James Shanks
Practice location
- Address
- 609 Channel Dr, Broussard, LA 70518-5342
- Phone
- (337) 466-1141
Registered specialties
Transportation Network Company
Primary
Registry record
- NPI
- 1124762802
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Apr 2022
- Record last updated
- 27 Apr 2022
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.