TRI-STATE MEDICAL CLINIC, APMC

SHREVEPORT, LA
NPI1679520027
Entity TypeOrganization
Authorized ContactRICHARD E. HAYNIE
President
318-621-2929
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-05-30
Last Update Date2020-08-22
Business Address
TRI-STATE MEDICAL CLINIC, APMC
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
Mailing Address
TRI-STATE MEDICAL CLINIC, APMC
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
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