Wk Haughton Medical Group

LBN: Wk Haughton Medical Group
Wk Haughton Medical Group is an health care organization with primary practice located at 5751 Shed Rd Ste 120 , Bossier City LA 71111-5662. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wk Haughton Medical Group can be contacted via phone (318) 935-1992, or through Gavin, Greg J. via phone (318) 649-2495.

Contact Information

Primary practice address
5751 Shed Rd Ste 120 Bossier City LA 71111-5662
Phone: (318) 935-1992
Fax: (318) 935-1925
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 649-2495

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1922036763
LBN Legal business name Wk Haughton Medical Group
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated May 19th, 2022 - about 2 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 1922036763 NPPES
Louisiana MEDICAID 1107751

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