Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ark La Tex Urology & Prostate Cancer Institute, a Professional Medical

Organization Urology Physician · NPI 1679615207

Ark La Tex Urology & Prostate Cancer Institute, a Professional Medical is an Urology Physician in Bossier City, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007

Practice location Address checks out

2300 Hospital Dr Ste 400
Bossier City, LA 71111-2394
Phone: (318) 841-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 020454 (LA)

Record details

NPI number1679615207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bundrick — Owner · (318) 841-4004
NPI enumeratedFebruary 12, 2007
Last updated in NPPESSeptember 3, 2008
Mailing address2300 Hospital Dr, Suite 400, Bossier City, LA 71111-2394

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