# WK VEIN SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154199438
- **Authorized official:** MARY JANE WARD (SR. V.P. OF FINANCE)
- **Authorized official phone:** (318) 716-4939

## Contact information

- **Practice address:** 8001 YOUREE DR STE 570, SHREVEPORT, LA 71115-2338
- **Practice address phone:** (318) 212-8346
- **Practice address fax:** (318) 212-8375
- **Mailing address:** 1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
- **Mailing address phone:** (318) 716-4937
- **Mailing address fax:** (318) 716-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 12/15/2023