JCT MEDICAL CONSULTING
Ambulatory Health at Ashley Ridge Blvd, Shreveport, LA

License number
Louisiana 016884
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. RUSSELL W. TYNES MD
Title: MEDICAL DIRECTOR
Phone: (318) 212-1610
Address
Address
460 Ashley Ridge Blvd STE 500, Shreveport, LA 71106
National Provider ID: 1205022647
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JCT MEDICAL CONSULTING at bizstanding.com

JCT MEDICAL CONSULTING INFORMATION, INC

460 Ashley Rdg Blvd, Shreveport, LA 71106

Industry:
Health/Allied Services, Internist
Doing business as:
Jct Medical<br>Jct. Medical Consulting
Registration:
Feb 1, 2005
Phone:
(318) 212-1610 (Phone)
State ID:
35868977D
Business type:
Business Corporation
Internal Medicine, Medical Director, Medical Doctor, Principals:
Jonathan Tynes (President, Director), 460 Ashley Rdg Blvd, Shreveport, LA 71106 (Physical),Casey Tynes (Secretary/Treasurer, Director), 460 Ashley Rdg Blvd, Shreveport, LA 71106 (Physical),Russell W. Tynes (Internal Medicine, Medical Director, Medical Doctor, Principal)
Agent:
Larry M. Cunningham,465 Lalo Rd, Elm Grove, LA 71051 (Physical)
Categories:
Government Contractors, Internal Medicine Physicians & Surgeons, Physicians & Surgeons

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