Organization
WK CENTER FOR PEDIATRICS - SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
2518 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3112
(318) 212-5437
Mailing address
2518 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3112
(318) 212-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025526
—
LA
Enumeration date
11/20/2007
Last updated
01/26/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up