OrganizationActive
Louisiana Family Medicine Clinic
NPI 1174903249 · Non-Pharmacy Dispensing Site · Bossier City, LA
Provider details
- NPI number
- 1174903249
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Dirk Rainwater, Owner(318) 259-1569
Specialties & taxonomies
Suppliers
Practice location
2890 Douglas Dr
Ste. 100
Bossier City, LA 71111-5806
Phone: (318) 742-6900
Fax: (318) 742-3900
Approximate (ZIP-level) locationGet directions
Mailing address
2890 Douglas Dr
Bossier City, LA 71111-5806
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2015-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.