Organization
WK INTERNAL MEDICINE AND PEDIATRIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED BEVILLE (VP PHYSICIAN NETWORK)
(318) 716-4891
Entity
Organization
Contact information
Practice address
5751 SHED RD STE 120, BOSSIER CITY, LA 71111-5662
(318) 935-1922
(318) 935-1925
Mailing address
5751 SHED RD STE 120, BOSSIER CITY, LA 71111-5662
(318) 935-1922
(318) 935-1925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/26/2015
Last updated
09/10/2024
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