Organization
WK WOMENS HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 688-8804
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS LOOP, SUITE 201, SHREVEPORT, LA 71118-3133
(318) 688-8804
(318) 688-5473
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 201, SHREVEPORT, LA 71118-3133
(318) 688-8804
(318) 688-5473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188646
—
LA
Enumeration date
07/28/2008
Last updated
04/13/2016
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