NPI 1437393162 · live from the CMS NPI Registry
Applegate
Family Medicine, Addiction Medicine in Bossier City, LA. National Provider Identifier 1437393162, active.
NPI record
| NPI | 1437393162 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 1605 Benton Rd, Suite D, Bossier City, LA 71111 |
| Practice phone | 318-742-0500 |
| Enumerated | April 24, 2009 |
| Last updated | June 4, 2009 |
| Authorized official | Philip Isherwood, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Family Medicine, Addiction Medicine primary | 207QA0401X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.