Organization
LOUISIANA FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK T. RAINWATER MD (OWNER)
(318) 259-1569
Entity
Organization
Contact information
Practice address
2890 DOUGLAS DR, STE. 100, BOSSIER CITY, LA 71111-5806
(318) 742-6900
(318) 742-3900
Mailing address
2890 DOUGLAS DR, STE. 100, BOSSIER CITY, LA 71111-5806
(318) 742-6900
(318) 742-3900
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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