OrganizationActive
Ark-La-Tex Childrens Clinic LLC
NPI 1962408781 · Pediatrics Physician · Bossier City, LA
Provider details
- NPI number
- 1962408781
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Latiolais, Partner(318) 742-6710
- License
- 0404240 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2400 Hospital Dr
Ste 120
Bossier City, LA 71111-2386
Phone: (318) 742-6710
Fax: (318) 747-5393
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Hospital Dr
Bossier City, LA 71111-2386
Registry dates
- Enumerated
- 2005-06-27
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.