RED RIVER MEDICINE, LLC

SHREVEPORT, LA
NPI1952944894
Entity TypeOrganization
Authorized ContactJOSEPH R TYNES
Md/Owner
318-549-0929
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2019-10-23
Last Update Date2020-01-07
Business Address
RED RIVER MEDICINE, LLC
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3800
Mailing Address
RED RIVER MEDICINE, LLC
PO BOX 52364
SHREVEPORT, LA 71135-2364
Phone number: 318-798-4606