Organization
LOUISIANA DEPT OF HEALTH AND HOSPITALS
Active
Organization
LOUISIANA DEPT OF HEALTH AND HOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOLCOMBE MD (MEDICAL DIRECTOR)
(318) 487-5261
Entity
Organization
Contact information
Practice address
5604 COLISEUM BLVD # A, ALEXANDRIA, LA 71303-3709
(318) 487-5282
Mailing address
PO BOX 61979, NEW ORLEANS, LA 70161-1979
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
RN104770
LA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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