Medical Infusion Therapy of La
NPI #1194784173 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1194784173
- Entity Type
- Organization
- Organization Name
- Medical Infusion Therapy of La
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Mar 20, 2006
- Last Updated
- Aug 30, 2007
Practice Location
- Address
- 1525 DOCTORS DR
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-3321
- Phone
- (318) 741-1009
Authorized Official
- Name
- MRS. JEAN HOOGENDYK, RN
- Title
- OWNER - ADMINISTRATOR
- Phone
- (318) 741-1009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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