Organization
WK URGENT CARE CENTER-SOUTH
Active
Other names
Quick Care South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE RANDALL (ADMINISTRATOR)
(318) 212-8785
Entity
Organization
Contact information
Practice address
2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71118-3130
(318) 212-5520
(318) 212-5540
Mailing address
2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71118-3130
(318) 212-5520
(318) 212-5540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017191
LA
207Q00000X
Family Medicine Physician
022420
LA
207Q00000X
Family Medicine Physician
023750
LA
207Q00000X
Family Medicine Physician
200321
LA
Other
Enumeration date
07/18/2011
Last updated
06/21/2016
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