# WK URGENT CARE CENTER-SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quick Care South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891083457
- **Authorized official:** MR. STEVE RANDALL (ADMINISTRATOR)
- **Authorized official phone:** (318) 212-8785

## Contact information

- **Practice address:** 2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71118-3130
- **Practice address phone:** (318) 212-5520
- **Practice address fax:** (318) 212-5540
- **Mailing address:** 2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71118-3130
- **Mailing address phone:** (318) 212-5520
- **Mailing address fax:** (318) 212-5540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 017191 | LA | Yes |
| 207Q00000X | Family Medicine Physician | 022420 | LA | — |
| 207Q00000X | Family Medicine Physician | 023750 | LA | — |
| 207Q00000X | Family Medicine Physician | 200321 | LA | — |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 06/21/2016