Wk Red River Cardiovascular Surgeons

LBN: Wk Red River Cardiovascular Surgeons
Wk Red River Cardiovascular Surgeons is an health care organization with primary practice located at 2751 Albert L Bicknell Dr Suite 5C, Shreveport LA 71103-3920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Wk Red River Cardiovascular Surgeons can be contacted via phone (318) 227-9777, or through Gavin, Greg J. via phone (318) 212-4571.

Contact Information

Primary practice address
2751 Albert L Bicknell Dr Suite 5C Shreveport LA 71103-3920
Phone: (318) 227-9777
Fax: (318) 459-1188
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-4571

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1639314271
LBN Legal business name Wk Red River Cardiovascular Surgeons
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2008
Last updated Jun 8th, 2012 - about 13 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 1639314271 NPPES
Louisiana MEDICAID 1356531

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