| |
1470 Garrett Rd Monroe LA 71202-3913 | |
(318) 387-3888 | |
(318) 324-8967 |
Full Name | |
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Speciality | Family Medicine |
Location | 1470 Garrett Rd, Monroe, Louisiana |
Authorized Official Name and Position | Randy W Head (OWNER/PHYSICIAN) |
Authorized Official Contact | 3183873888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1470 Garrett Rd Monroe LA 71202-3913 Ph: (318) 387-3888 | 1470 Garrett Rd Monroe LA 71202-3913 Ph: (318) 387-3888 |
NPI Number | 1750468005 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750468005 | NPI | - | NPPES |
1444987 | Medicaid | LA | |
022410 | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 022410 (Louisiana) | Primary |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |