Wk Pierremont Pediatrics

LBN: Wk Pierremont Pediatrics
Wk Pierremont Pediatrics is an health care organization with primary practice located at 1811 E Bert Kouns Industrial Loop Suite 140, Shreveport LA 71105-5563. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wk Pierremont Pediatrics can be contacted via phone (318) 797-9000, or through Gavin, Greg J. via phone (318) 212-4232.

Contact Information

Primary practice address
1811 E Bert Kouns Industrial Loop Suite 140 Shreveport LA 71105-5563
Phone: (318) 797-9000
Fax: (318) 797-9275
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 1376745794
LBN Legal business name Wk Pierremont Pediatrics
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
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 1376745794 NPPES
Louisiana MEDICAID 1448907

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