OrganizationActive
Applegate
NPI 1437393162 · Addiction Medicine (Family Medicine) Physician · Bossier City, LA
Provider details
- NPI number
- 1437393162
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Isherwood, Medical Director(318) 742-0500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Practice location
1605 Benton Rd
Suite D
Bossier City, LA 71111-3578
Phone: (318) 742-0500
Fax: (318) 742-0588
Approximate (ZIP-level) locationGet directions
Mailing address
1605 Benton Rd
Bossier City, LA 71111-3578
Registry dates
- Enumerated
- 2009-04-24
- Last updated
- 2009-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.