Organization
BIENVENUE FAMILY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA D THOMAS APRN (OWNER)
(318) 317-1238
Entity
Organization
Contact information
Practice address
1701 OLD MINDEN RD STE 17F, BOSSIER CITY, LA 71111-4804
(318) 317-1238
(318) 390-1800
Mailing address
1701 OLD MINDEN RD STE 17F, BOSSIER CITY, LA 71111-4804
(318) 317-1238
(318) 390-1800
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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