Organization
WK VEIN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (SR. V.P. OF FINANCE)
(318) 716-4939
Entity
Organization
Contact information
Practice address
8001 YOUREE DR STE 570, SHREVEPORT, LA 71115-2338
(318) 212-8346
(318) 212-8375
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 716-4937
(318) 716-4854
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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