Individual
THERESA L RINDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9091 ELLERBE RD STE 200, SHREVEPORT, LA 71106
(318) 681-1630
(318) 681-1641
Mailing address
9091 ELLERBE RD STE 200, SHREVEPORT, LA 71106-6737
(318) 681-1630
(318) 681-1641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20918
LA
207Q00000X
Family Medicine Physician
MD.020918
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080049827
RR MCR
LA
05
—
1914533
—
LA
01
—
1K0589
MEDICARE
LA
01
—
2706235006
CIGNA
LA
01
—
4519575
AETNA
LA
01
—
B006
TRICARE
LA
Enumeration date
06/20/2005
Last updated
02/20/2023
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