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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