Vinelco Physicians Associates Llc

NPI 1174679625 - Long Term Care Hospital - 282E00000X

NPI Details
NPI 1174679625
Enumeration Date 01/26/2007
Last Updated 12/22/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GAVIN GAVIN
Position MANAGING PARTNER
Phone (318) 677-3458
Fax (318) 747-7878
Practice Location
4900 MEDICAL DR
BOSSIER CITY LA, 71112-4521, US
Phone (318) 677-3458
Fax (318) 747-7878
Business Location
PO BOX 53032
SHREVEPORT LA, 71135-3032, US
Phone (318) 798-4593
Fax (318) 798-4601
Toxanomy
Taxonomy Code 282E00000X
License State Louisiana
License Number 11956R
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According to our database, Vinelco Physicians Associates Llc NPI is 1174679625, taxonomy code is 282E00000X and license number is 11956R, license state is located at Louisiana. Vinelco Physicians Associates Llc physically located at 4900 Medical Dr, Bossier City LA, 71112-4521. NPI Number 1033115704 has the healthcare provider type.

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1174679625 NPI number is provided on an as is basis without warranty of any kind. 1174679625 is maintained by the National Plan & Provider Enumeration System. The contents of Vinelco Physicians Associates Llc are for informational purposes only.