Organization
RED RIVER MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R. TYNES (M.D.)
(318) 469-7315
Entity
Organization
Contact information
Practice address
1500 LINE AVE, SHREVEPORT, LA 71101-4639
(318) 213-3800
(318) 213-3357
Mailing address
1110 KEYSTONE CIR, BOSSIER CITY, LA 71111-2178
(318) 469-7315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423611
—
LA
Enumeration date
10/23/2019
Last updated
12/08/2025
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