Organization
INTEGRATED HEALTH SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA TENNANT (BUSINESS OWNER)
(318) 410-1044
Entity
Organization
Contact information
Practice address
2101 TOWER DR, MONROE, LA 71201-5045
(318) 410-1044
Mailing address
PO BOX 14282, MONROE, LA 71207-4282
(318) 410-1044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
07043R
LA
Other
Enumeration date
10/16/2008
Last updated
10/20/2008
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