Wk Ark-La-Tex Neonatology

LBN: Wk Ark-La-Tex Neonatology
Wk Ark-La-Tex Neonatology is an health care organization with primary practice located at 2510 Bert Kouns Loop Room 215, Shreveport LA 71118-3119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as the primary health care specialty. Wk Ark-La-Tex Neonatology can be contacted via phone (318) 212-5970, or through Gavin, Greg J via phone (318) 212-4571.

Contact Information

Primary practice address
2510 Bert Kouns Loop Room 215 Shreveport LA 71118-3119
Phone: (318) 212-5970
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J
Phone: (318) 212-4571

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X

Profile Details

NPI number 1780848580
LBN Legal business name Wk Ark-La-Tex Neonatology
DBA Doing business as
Authorized official Gavin, Greg J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated Jun 12th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780848580 NPPES
Louisiana MEDICAID 1816671

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