Organization
BOYD FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER JESSE BOYD M.D. (OWNER)
(318) 746-1094
Entity
Organization
Contact information
Practice address
1518 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-1094
(318) 746-2808
Mailing address
1518 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-1094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345784
—
LA
Enumeration date
02/06/2007
Last updated
09/05/2007
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