James Tims
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1982106845
StatusActive
Last updated in NPPESMay 23, 2018
Details
- NPI
- 1982106845
- Entity type
- Individual (NPI-1)
- Name
- James Tims
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2018
- Last updated
- May 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
4601 N Market StShreveport, LA 71107
Phone 318-424-8735
Mailing address
4601 N Market StShreveport, LA 71107-2971
Phone 318-424-8735
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