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Contact Information

WK PEDIATRIC GI SPECIALISTS
2508 BERT KOUNS INDUSTRIAL LOOP
SUITE 101
SHREVEPORT, LA71118-3133
 Phone: 318-212-5858
 Fax: 318-212-5877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WK PEDIATRIC GI SPECIALISTS

NPI # 1336470574
LBN Legal business name WK PEDIATRIC GI SPECIALISTS
Authorized official GREG GAVIN - (NETWORK ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2010
Last updated 07/21/2021 - About 5 years ago
Identifiers
TX Medicaid 2204943
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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