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ARK-LA-TEX CHILDRENS CLINIC LLC NPI 1962408781


NPI Information

NPI: 1962408781
Provider Name: ARK-LA-TEX CHILDRENS CLINIC LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 19D0463834

Address:
2400 HOSPITAL DR
STE 120
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 742-6710
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ARK-LA-TEX CHILDRENS CLINIC LLC is a pediatrics in Bossier City, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ARK-LA-TEX CHILDRENS CLINIC LLC NPI is 1962408781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2400 HOSPITAL DR
STE 120
BOSSIER CITY, LA
ZIP 71111-386
Phone: (318) 742-6710
Fax: (318) 747-5393

The provider's authorized official is Thomas Latiolais .
The authorized official title is Partner and has the following contact phone number (318) 742-6710.

The CLIA number assigned to this NPI record is 19D0463834 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 6/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0404240LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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