Integra Health Services Professional Corporation

Internal Medicine · Coushatta, LA

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At a glance

1110 Ringgold Ave Ste B, Coushatta, LA 71019-9004

NPPES record updated Mar 17, 2018. Public records can lag behind changes at a practice.

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  • 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

1110 Ringgold Ave Ste B
Coushatta, LA 71019-9004

Additional reported practice locations

1110 Ringgold Ave
Coushatta, LA 710199000
Phone: 3187984606
Fax: 3187984601
4900 Medical Dr
Bossier City, LA 711124521
Phone: 3187984606
Fax: 3187984601
Professional details: NPI, taxonomy & registry record
NPI1861915415
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Registry details

Primary taxonomy
Internal Medicine
Taxonomy code
207R00000X
Enumeration date
Jul 25, 2017
Record updated
Mar 17, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Internal Medicine

207R00000X · Primary

License reported: MD.11956R LA

Specialty details in registry

282E00000X

License reported: MD.11956R LA

Specialty details in registry

283X00000X

License reported: MD.11956R LA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1110 Ringgold Ave Ste B
Coushatta, LA 71019-9004
Phone
(318) 798-4606
Fax
(318) 798-4601
Mailing address
PO BOX 53032

SHREVEPORT, LA 711353032
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete.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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