NPI 1174903249
Louisiana Family Medicine Clinic
Practice location
- Address
- 2890 Douglas Dr STE. 100, Bossier City, LA 71111-5806
- Phone
- (318) 742-6900
- Fax
- (318) 742-3900
Authorised official
- Name
- Dirk T. Rainwater
- Title
- Owner
- Phone
- (318) 259-1569
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1174903249
- Entity type
- Organization
- NPI issued
- 4 Jun 2015
- Record last updated
- 4 Jun 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.