Wk Louisiana Family Practice

LBN: Wk Louisiana Family Practice
Wk Louisiana Family Practice is an health care organization with primary practice located at 2300 Hospital Dr Suite 200, Bossier City LA 71111-2394. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wk Louisiana Family Practice can be contacted via phone (318) 212-7830, or through Gavin, Greg J. via phone (318) 212-8780.

Contact Information

Primary practice address
2300 Hospital Dr Suite 200 Bossier City LA 71111-2394
Phone: (318) 212-7830
Fax: (318) 212-7835
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-8780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164464889
LBN Legal business name Wk Louisiana Family Practice
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 8th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164464889 NPPES
Louisiana MEDICAID 1452858

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