Company Clinic Of Louisiana, Llc

NPI 1114292679 - Clinic/Center - 261QX0100X

NPI Details
NPI 1114292679
Enumeration Date 03/16/2012
Last Updated 02/13/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TAMMIE TAMMIE
Position CFO
Phone (318) 741-5858
Fax (318) 741-4496
Practice Location
5015 SHED RD
SUITE 500
BOSSIER CITY LA, 71111-5584, US
Phone (318) 741-5858
Fax (318) 741-4496
Business Location
PO BOX 5257
BOSSIER CITY LA, 71171-5257, US
Phone (318) 741-5858
Fax (318) 946-8767
Toxanomy
Taxonomy Code 261QX0100X
License State
License Number
Remove 1114292679 NPI Number
 

According to our database, Company Clinic Of Louisiana, Llc NPI is 1114292679, taxonomy code is 261QX0100X Company Clinic Of Louisiana, Llc physically located at 5015 Shed Rd, Bossier City LA, 71111-5584. NPI Number 1033115704 has the healthcare provider type.

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1114292679 NPI number is provided on an as is basis without warranty of any kind. 1114292679 is maintained by the National Plan & Provider Enumeration System. The contents of Company Clinic Of Louisiana, Llc are for informational purposes only.