Wk South Shreveport Family Practice | |
2520 Bert Kouns Loop Ste 102 Shreveport LA 71118-3130 | |
(318) 212-5972 | |
(318) 212-5369 |
Full Name | Wk South Shreveport Family Practice |
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Speciality | Family Medicine |
Location | 2520 Bert Kouns Loop Ste 102, Shreveport, Louisiana |
Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
Authorized Official Contact | 3182124232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wk South Shreveport Family Practice 2520 Bert Kouns Loop Ste 102 Shreveport LA 71118-3130 Ph: (318) 212-5972 | Wk South Shreveport Family Practice 2520 Bert Kouns Loop Ste 102 Shreveport LA 71118-3130 Ph: (318) 212-5972 |
NPI Number | 1346426913 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 06/08/2012 |
Identifier | Type | State | Issuer |
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1346426913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
J J Burgin Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 Lochinvar Ln, Shreveport, LA 71106 Phone: 562-569-1601 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 |