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Individual

JORGE ISAAC TAPIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2114 SHREVEPORT HWY, #226, PINEVILLE, LA 71360-2006
(318) 473-2101
Mailing address
2114 SHREVEPORT HWY, #226, PINEVILLE, LA 71360-2006
(318) 473-2101

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
06923R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1436947
LA
Enumeration date
06/25/2006
Last updated
07/08/2007
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