NPI 1679298418

Matthew Braxton Hollowell, RTR

Practitioner Radiologic Technologist Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 990-6640
Mailing address: 5402 Hollyhock Ln, Bossier City, LA 71112-4922

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 9896 (LA)

Other Radiologic Technologist providers in Louisiana →

Registry record

NPI: 1679298418
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2022
Record last updated: 19 Sep 2024

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.