Organization
WEE CARE PEDIATRICS & KID MED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARIE HARRIS MD (OWNER/PRESIDENT)
(318) 222-4041
Entity
Organization
Contact information
Practice address
4571 N MARKET, SHREVEPORT, LA 71107
(318) 222-4041
(318) 222-4355
Mailing address
PO BOX 7152, SHREVEPORT, LA 71137
(318) 222-4041
(318) 222-4355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312258
—
LA
Enumeration date
08/30/2006
Last updated
08/22/2020
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