Wk Center For Pediatrics - South

LBN: Wk Center For Pediatrics - South
Wk Center For Pediatrics - South is an health care organization with primary practice located at 2518 Bert Kouns Loop , Shreveport LA 71118-3112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wk Center For Pediatrics - South can be contacted via phone (318) 212-5437, or through Gavin, Greg J. via phone (318) 212-4232.

Contact Information

Primary practice address
2518 Bert Kouns Loop Shreveport LA 71118-3112
Phone: (318) 212-5437
Fax:
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 1679754485
LBN Legal business name Wk Center For Pediatrics - South
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Jan 26th, 2016 - about 9 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 1679754485 NPPES
Louisiana MEDICAID 1025526

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