Jct Medical Consulting in Shreveport - Medical Specialty
Jct Medical Consulting - NPI 1205022647
Jct Medical Consulting is a Medical Specialty in Shreveport, Louisiana. Jct Medical Consulting practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jct Medical Consulting is 1205022647. The last update date is 2009-04-29.
Jct Medical Consulting's current location address is 460 Ashley Ridge Blvd Ste 500, Shreveport, Louisiana. You can contact this provider via phone number 3182121610 and fax number 8664557515. The mailing address for Jct Medical Consulting is 460 Ashley Ridge Blvd Ste 500, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jct Medical Consulting |
|---|---|
| Address | 460 Ashley Ridge Blvd Ste 500, Shreveport, Louisiana |
| Phone Number | 3182121610 |
| Fax Number | 8664557515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Tynes W. Russell |
| Credentials | MD |
| Telephone Number | 3182121610 |
NPI Number Detail
| NPI Number | 1205022647 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 460 Ashley Ridge Blvd Ste 500 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711067228 |
| Phone Number | 3182121610 |
| Fax Number | 8664557515 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 16884 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1351661 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jct Medical Consulting by the Centers for Medicare & Medicaid Services?
The Jct Medical Consulting has been assigned the NPI (National Provider Identifier) 1205022647 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jct Medical Consulting is physically located?
The Jct Medical Consulting is physically situated at the following address: 460 Ashley Ridge Blvd Ste 500, Shreveport, LA, 711067228.
What is Jct Medical Consulting's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jct Medical Consulting is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205022647 to Jct Medical Consulting?
The Centers for Medicare & Medicaid Services assigned the 1205022647 to Jct Medical Consulting on 2007-09-19.
When was the information regarding Jct Medical Consulting most recently updated?
The details pertaining to the Jct Medical Consulting, including its address, specialty, and other relevant information, were last refreshed on 2009-04-29.