MEDICARE: FLOWSTREAM HEALTH SOLUTIONS, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1992172225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWSTREAM HEALTH SOLUTIONS, L.L.C.

Provider Business Mailing Address
First Line	:	1809 NORTHPOINTE LN
Second Line	:	SUITE 203
City	:	RUSTON
State	:	LA
Zip	:	71270-3853
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 NORTHPOINTE LN
Second Line	:	SUITE 203
City	:	RUSTON
State	:	LA
Zip	:	71270-3853
Country	:	US
Telephone Number	:	318-255-7591
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. DAVID CASTON
Credential	:
Telephone Number	:	318-255-7591

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	11/17/2015

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