Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ark-La-Tex Childrens Clinic LLC

Organization Pediatrics Physician · NPI 1962408781

Ark-La-Tex Childrens Clinic LLC provides Pediatrics Physician services in Bossier City, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.

Licensed in
LA
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 Hospital Dr Ste 120
Bossier City, LA 71111-2386 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 742-6710
Fax: (318) 747-5393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0404240 (LA)

Record details

NPI number1962408781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Latiolais — Partner · (318) 742-6710
NPI enumeratedJune 27, 2005
Last updated in NPPESJune 12, 2008
Mailing address2400 Hospital Dr, Ste 120, Bossier City, LA 71111-2386

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