Wal-Mart Stores East Lp
Specialty details in registry · Bossier City, LA
At a glance
4000 Barksdale Blvd, Bossier City, LA 71112-3902
NPPES record updated Jun 11, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4000 Barksdale BlvdBossier City, LA 71112-3902
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Aug 11, 2015
- Record updated
- Jun 11, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X
Specialty details in registry
3336C0003X · Primary
License reported: PHY.007198-RC LA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4000 Barksdale BlvdBossier City, LA 71112-3902
- Phone
- (423) 405-6162
- Fax
- (423) 405-6161
Mailing address
702 SW 8TH STBENTONVILLE, AR 727160445
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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