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

Willow Chute Medical, LLC

Organization Family Medicine Physician · NPI 1033987151

Willow Chute Medical, LLC is a Family Medicine Physician in Bossier City, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4910 Airline Dr
Bossier City, LA 71111-6607
Phone: (318) 349-3921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1033987151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Wilson — Owner · (318) 349-3921
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address732 Smokehouse Loop, Benton, LA 71006-8000

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