Organization
ALLEGIANCE INTEGRATED CARE LLC
Active
Other names
Allegiance Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROCK BORDELON (CEO)
(318) 226-8202
Entity
Organization
Contact information
Practice address
3800 VIKING DR, BOSSIER CITY, LA 71111-7403
(318) 226-8202
Mailing address
3800 VIKING DR, BOSSIER CITY, LA 71111-7403
(318) 226-8202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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