# WK PRIMARY CARE RUSTON

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

## Provider details

- **NPI number:** 1245177245
- **Authorized official:** MARY JANE WARD (SENIOR VP, FINANCE)
- **Authorized official phone:** (318) 716-4939

## Contact information

- **Practice address:** 1809 NORTHPOINTE LN STE 102, RUSTON, LA 71270-3852
- **Practice address phone:** (318) 399-7130
- **Practice address fax:** (318) 399-7139
- **Mailing address:** PO BOX 829, RUSTON, LA 71273-0829
- **Mailing address phone:** (318) 399-7130
- **Mailing address fax:** (318) 399-7139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2026
- **Last updated:** 05/07/2026