D Gene Mack Jr Md And Willis-Knighton Medical Center

LBN: D Gene Mack Jr Md And Willis-Knighton Medical Center
D Gene Mack Jr Md And Willis-Knighton Medical Center is an health care organization with primary practice located at 1799 E Bert Kouns Industrial Loop , Shreveport LA 71105-5561. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. D Gene Mack Jr Md And Willis-Knighton Medical Center can be contacted via phone (318) 797-9000, or through Gavin, Greg J via phone (318) 212-4232.

Contact Information

Primary practice address
1799 E Bert Kouns Industrial Loop Shreveport LA 71105-5561
Phone: (318) 797-9000
Fax: (318) 797-9250
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J
Phone: (318) 212-4232

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134295520
LBN Legal business name D Gene Mack Jr Md And Willis-Knighton Medical Center
DBA Doing business as
Authorized official Gavin, Greg J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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