Ark-La-Tex Childrens Clinic LLC

NPI #1962408781 in Bossier City, Louisiana

Provider Information

NPI Number: 1962408781
Entity Type: Organization
Organization Name: Ark-La-Tex Childrens Clinic LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 27, 2005
Last Updated: Jun 12, 2008

Practice Location

Address: 2400 HOSPITAL DR
Address 2: STE 120
City: Bossier City
State: Louisiana
ZIP Code: 71111-2386
Phone: (318) 742-6710

Authorized Official

Name: DR. THOMAS LATIOLAIS, MD
Title: PARTNER
Phone: (318) 742-6710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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