Healthcare Provider Details
I. General information
NPI: 1861702680
Provider Name (Legal Business Name): HEALTHPOINT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2010
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 STUBBS AVE
MONROE LA
71201-5506
US
IV. Provider business mailing address
PO BOX 15447
MONROE LA
71207-5447
US
V. Phone/Fax
- Phone: 318-998-2700
- Fax: 318-998-2705
- Phone: 318-998-2700
- Fax: 318-998-2705
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | LA |
VIII. Authorized Official
Name: DR.
TERRY
O
THOMAS
Title or Position: PRESIDENT/CEO
Credential: PHD
Phone: 318-998-2700