Organization
MY AT HOME MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN THOMAS LPC (CEO)
(318) 227-4088
Entity
Organization
Contact information
Practice address
745 OLIVE ST STE 202, SHREVEPORT, LA 71104-2246
(318) 227-4088
(318) 227-4086
Mailing address
745 OLIVE ST STE 202, SHREVEPORT, LA 71104-2246
(318) 227-4088
(318) 227-4086
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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