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Providence Primary Care, Llc
Multi-Specialty Clinic/Center in Bossier City, Louisiana
NPI 1386238525

Providence Primary Care, Llc is a Multi-Specialty Clinic/Center based in Bossier City, LA and is specialized in Multi-Specialty. Providence Primary Care, Llc practices in Bossier City, LA. The NPI Number for Providence Primary Care, Llc is 1386238525 and holds a License No. (Louisiana).

The current practice location address for Providence Primary Care, Llc is 1000 Chinaberry Dr Ste 1002, Bossier City, LA and can be reached out via phone at 318-458-2583.

Location: 1000 Chinaberry Dr Ste 1002, Bossier City, LA, 71111-6273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386238525
Provider Name
Providence Primary Care, Llc
Credential
Provider Entity Type
Organization
Address
1000 Chinaberry Dr Ste 1002, Bossier City, LA, 71111-6273
Phone Number
318-458-2583
Fax Number
Provider Enumeration Date
02/28/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1000 Chinaberry Dr Ste 1002
City
Bossier City
State
Louisiana
Zip
71111-2463
Phone Number
318-458-2583
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Chinaberry Dr Ste 1002
City
Bossier City
State
Louisiana
Zip
71111-2463
Phone Number
318-458-2583
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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