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Contact Information

WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
2530 BERT KOUNS INDUSTRIAL LOOP, STE 113
SHREVEPORT, LA71118
 Phone: 318-212-5811
 Fax: 318-212-5844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WK CENTER FOR PEDIATRIC GASTROENTEROLOGY

NPI # 1720620784
LBN Legal business name WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
Authorized official MARY JANE WARD - (SENIOR VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2019
Last updated 10/11/2019 - About 7 years ago
Identifiers n/a
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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