Organization
WK TRI-STATE NEUROSURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J WARD (SENIOR VP FINANCE)
(318) 716-4939
Entity
Organization
Contact information
Practice address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-2771
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-2771
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
07/15/2025
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