Medical Infusion Therapy Of La

NPI 1194784173 - Clinic/Center - 261QI0500X

NPI Details
NPI 1194784173
Enumeration Date 03/20/2006
Last Updated 08/30/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEAN JEAN
Position OWNER - ADMINISTRATOR
Phone (318) 741-1009
Fax (318) 741-1842
Practice Location
1525 DOCTORS DR
BOSSIER CITY LA, 71111-3321, US
Phone (318) 741-1009
Fax (318) 741-1842
Business Location
1525 DOCTORS DR
BOSSIER CITY LA, 71111-3321, US
Phone (318) 741-1009
Fax (318) 741-1842
Toxanomy
Taxonomy Code 261QI0500X
License State Louisiana
License Number 4428 IR
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According to our database, Medical Infusion Therapy Of La NPI is 1194784173, taxonomy code is 261QI0500X and license number is 4428 IR, license state is located at Louisiana. Medical Infusion Therapy Of La physically located at 1525 Doctors Dr, Bossier City LA, 71111-3321. NPI Number 1033115704 has the healthcare provider type.

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1194784173 NPI number is provided on an as is basis without warranty of any kind. 1194784173 is maintained by the National Plan & Provider Enumeration System. The contents of Medical Infusion Therapy Of La are for informational purposes only.