Organization
WK NORTHWEST INTERNAL MEDICINE
Active
Other names
Willis Knighton Internal Medicine Pierremont Suite 550
Organization subpart
No
Provider details
NPI number
Authorized official
JARED THOMAS BEVILLE (VP WK PHYSICIAN NETWORK)
(318) 719-4950
Entity
Organization
Contact information
Practice address
8001 YOUREE DR STE 550, SHREVEPORT, LA 71115-2332
(318) 212-2984
(318) 212-3404
Mailing address
8001 YOUREE DR STE 550, SHREVEPORT, LA 71115-2332
(318) 212-2984
(318) 212-3404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
10/01/2024
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