Organization
CARDINAL CARE LLC
Active
Other names
Richard T. Sipes, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD THOMAS SIPES M.D. (OWNER)
(318) 935-6177
Entity
Organization
Contact information
Practice address
8625 LINE AVE STE E, SHREVEPORT, LA 71106-6107
(318) 935-6177
(888) 935-4748
Mailing address
8625 LINE AVE STE E, SHREVEPORT, LA 71106-6107
(318) 935-6177
(888) 935-4748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13289R
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
13289R
LA
Other
Enumeration date
07/22/2009
Last updated
01/15/2020
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