Jct Medical Consulting
Jct Medical Consulting is a Medical Specialty Clinic/Center in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
460 Ashley Ridge Blvd Ste 500Shreveport, LA 71106-7228
Phone: (318) 212-1610
Fax: (866) 455-7515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 016884 (LA) |
|---|
Record details
| NPI number | 1205022647 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Tynes — Medical Director · (318) 212-1610 |
| Other names | Jct Medical/Russell W. Tynes Md |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | April 29, 2009 |
| Mailing address | 460 Ashley Ridge Blvd Ste 500, Shreveport, LA 71106-7228 |
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