OrganizationActive
Drg Medical LLC
NPI 1316418288 · Addiction Medicine (Family Medicine) Physician · Shreveport, LA
Provider details
- NPI number
- 1316418288
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Gibson, Manager(318) 918-0058
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
1549 Elizabeth Ave
Shreveport, LA 71101-4501
Phone: (318) 918-0058
Approximate (ZIP-level) locationGet directions
Mailing address
1549 Elizabeth Ave
Shreveport, LA 71101-4501
Other names (DBA / former)
- Doing business as
- Gibson Family Practice
Additional practice locations (1)
- 6319 W 70th StShreveport, LA 71129-2417Phone: (318) 918-0058
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.