Organization
WK INTERNAL MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATION)
(318) 212-8780
Entity
Organization
Contact information
Practice address
8001 YOUREE DR STE 720, SHREVEPORT, LA 71115-2336
(318) 212-3681
(318) 212-3687
Mailing address
8001 YOUREE DR STE 720, SHREVEPORT, LA 71115-2336
(318) 212-3681
(318) 212-3687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/17/2022
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