Matrix Therapy Solutions, LLC
Clinic/Center, Multi-Specialty in Coushatta, LA. Organization (NPI-2).
NPI number1295047769
StatusActive
Last updated in NPPESJul 13, 2010
Details
- NPI
- 1295047769
- Entity type
- Organization (NPI-2)
- Legal business name
- Matrix Therapy Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2010
- Last updated
- Jul 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
5024 Cut Off Rd Ste BCoushatta, LA 71019-5116
Phone 318-560-7300 · Fax 318-932-7946
Mailing address
1035 Hickory DrCoushatta, LA 71019-8164
Phone 318-560-7300 · Fax 318-932-7946
Authorized official
Bridgette Neal Bates
Manager/Member
3185607300
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