Wk Pediatric Gi Specialists
LBN: Wk Pediatric Gi Specialists
Wk Pediatric Gi Specialists is an health care organization with primary practice located at 2508 Bert Kouns Industrial Loop Suite 101, Shreveport LA 71118-3133. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is the primary health care specialty.
Wk Pediatric Gi Specialists can be contacted via phone (318) 212-5858, or through Gavin, Greg J. via phone (318) 424-4232.
Contact Information
Primary practice address
2508 Bert Kouns Industrial Loop Suite 101
Shreveport LA 71118-3133
Phone: (318) 212-5858
Fax: (318) 212-5877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X |
Profile Details
| NPI number | 1336470574 |
|---|---|
| LBN Legal business name | Wk Pediatric Gi Specialists |
| DBA Doing business as | |
| Authorized official | Gavin, Greg J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 28th, 2010 |
| Last updated | Jul 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336470574 | NPPES |
| Texas | MEDICAID | 2204943 |
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