LOUISIANA FAMILY MEDICINE CLINIC

BOSSIER CITY, LA
NPI1174903249
Entity TypeOrganization
Authorized ContactDIRK T. RAINWATER
Owner
318-259-1569
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2015-06-04
Last Update Date2015-06-04
Business Address
LOUISIANA FAMILY MEDICINE CLINIC
2890 DOUGLAS DR STE. 100
BOSSIER CITY, LA 71111-5806
Phone number: 318-742-6900
Mailing Address
LOUISIANA FAMILY MEDICINE CLINIC
2890 DOUGLAS DR STE. 100
BOSSIER CITY, LA 71111-5806
Phone number: 318-742-6900