Organization
WK ALLERGY ASTHMA & IMMUNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J WARD (SENIOR VP OF FINANCE)
(318) 716-4937
Entity
Organization
Contact information
Practice address
2530 BERT KOUNS INDUSTRIAL LOOP STE 112, SHREVEPORT, LA 71118-3153
(318) 212-8780
(318) 212-5994
Mailing address
2530 BERT KOUNS INDUSTRIAL LOOP STE 112, SHREVEPORT, LA 71118-3153
(318) 212-8780
(318) 212-5994
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
10/27/2022
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