Integra Health Services Professional Corporation
Integra Health Services Professional Corporation is an Internal Medicine Physician in Coushatta, Louisiana. Works from 3 locations. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
1110 Ringgold Ave Ste BCoushatta, LA 71019-9004
Phone: (318) 798-4606
Fax: (318) 798-4601
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 4900 Medical Dr, Bossier City, LA 71112-4521 — (318) 798-4606
- 1110 Ringgold Ave, Coushatta, LA 71019-9000 — (318) 798-4606
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD.11956R (LA) |
|---|---|
| Long Term Care Hospital | Taxonomy 282E00000X · Licence MD.11956R (LA) |
| Rehabilitation Hospital | Taxonomy 283X00000X · Licence MD.11956R (LA) |
Record details
| NPI number | 1861915415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gavin Chico — Md/Owner · (318) 780-6230 |
| NPI enumerated | July 25, 2017 |
| Last updated in NPPES | March 17, 2018 |
| Mailing address | Po Box 53032, Shreveport, LA 71135-3032 |