| Tri-state Medical Clinic, Apmc | |
|
2551 Greenwood Rd Suite 410 Shreveport LA 71103-3981 | |
| (318) 621-2929 | |
| Not Available |
| Full Name | Tri-state Medical Clinic, Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2551 Greenwood Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Richard E. Haynie (PRESIDENT) |
| Authorized Official Contact | 3186212929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Medical Clinic, Apmc 2551 Greenwood Rd Suite 410 Shreveport LA 71103-3981 Ph: (318) 621-2929 | Tri-state Medical Clinic, Apmc 2551 Greenwood Rd Suite 410 Shreveport LA 71103-3981 Ph: (318) 621-2929 |
| NPI Number | 1679520027 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679520027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Louisiana) | Primary |
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