# RED RIVER MEDICINE, LLC

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

## Provider details

- **NPI number:** 1952944894
- **Authorized official:** DR. JOSEPH R. TYNES (M.D.)
- **Authorized official phone:** (318) 469-7315

## Contact information

- **Practice address:** 1500 LINE AVE, SHREVEPORT, LA 71101-4639
- **Practice address phone:** (318) 213-3800
- **Practice address fax:** (318) 213-3357
- **Mailing address:** 1110 KEYSTONE CIR, BOSSIER CITY, LA 71111-2178
- **Mailing address phone:** (318) 469-7315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 12/08/2025