JCT MEDICAL CONSULTING is a medical specialty clinic center in Shreveport, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JCT MEDICAL CONSULTING NPI is 1205022647. The provider is registered as an organization entity type.
The provider Is Doing Business As Jct Medical/russell W. Tynes Md.
The provider's business location address is:
460 ASHLEY RIDGE BLVD STE 500
SHREVEPORT, LA
ZIP 71106-228
Phone: (318) 212-1610
Fax: (866) 455-7515
The provider's authorized official is Russell W. Tynes .
The authorized official title is Medical Director and has the following contact phone number (318) 212-1610.
The CLIA number assigned to this NPI record is 19D1094962 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/19/2007 and was last updated on 4/29/2009.