| Ltp Medical Mobile, Inc. | |
|
310 West Mississippi Ave. Ruston LA 71270-9541 | |
| (318) 513-1212 | |
| (318) 513-7673 |
| Full Name | Ltp Medical Mobile, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 310 West Mississippi Ave., Ruston, Louisiana |
| Authorized Official Name and Position | Jackie K White (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3185131212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltp Medical Mobile, Inc. 310 West Mississippi Ave. Ruston LA 71270-9541 Ph: (318) 513-1212 | Ltp Medical Mobile, Inc. 310 West Mississippi Ave. Ruston LA 71270-9541 Ph: (318) 513-1212 |
| NPI Number | 1649564824 |
|---|---|
| Provider Enumeration Date | 06/05/2011 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649564824 | NPI | - | NPPES |
| 2428438 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
New Beginnings Wellness Center And Spa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Northpointe Ave., Suite 202, Ruston, LA 71270 Phone: 318-255-1155 Fax: 318-255-3181 | |
Masterpiece Behavior Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Floyd Park Dr Ste 2, Ruston, LA 71270 Phone: 318-548-1589 | |
Boersma Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 S Bonner St, Ruston, LA 71270 Phone: 318-255-2733 Fax: 318-254-1066 | |
Amazing Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 S Bonner St, Ruston, LA 71270 Phone: 318-202-5935 Fax: 318-202-5933 | |
Clhg-ruston Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Celebrity Dr, Ruston, LA 71270 Phone: 318-254-2100 | |
Shanti Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-5141 | |
A Plus Medical Of Ruston Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 S Farmerville Street, Ruston, LA 71270 Phone: 318-436-2600 |