# INTEGRATED HEALTH SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023260486
- **Authorized official:** MS. ALICIA TENNANT (BUSINESS OWNER)
- **Authorized official phone:** (318) 410-1044

## Contact information

- **Practice address:** 2101 TOWER DR, MONROE, LA 71201-5045
- **Practice address phone:** (318) 410-1044
- **Mailing address:** PO BOX 14282, MONROE, LA 71207-4282
- **Mailing address phone:** (318) 410-1044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 07043R | LA | Yes |

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 10/20/2008