OrganizationActive
Jct Medical Consulting
NPI 1205022647 · Medical Specialty Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1205022647
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Russell Tynes, Medical Director(318) 212-1610
- License
- 016884 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
460 Ashley Ridge Blvd Ste 500
Shreveport, LA 71106-7228
Phone: (318) 212-1610
Fax: (866) 455-7515
Approximate (ZIP-level) locationGet directions
Mailing address
460 Ashley Ridge Blvd Ste 500
Shreveport, LA 71106-7228
Other names (DBA / former)
- Doing business as
- Jct Medical/Russell W. Tynes MD
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2009-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.