Wk Shreveport Breast Center

LBN: Wk Shreveport Breast Center
Wk Shreveport Breast Center is an health care organization with primary practice located at 8001 Youree Dr Suite 960, Shreveport LA 71115-2302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Wk Shreveport Breast Center can be contacted via phone (318) 212-3706, or through Gavin, Greg J. via phone (318) 212-4232.

Contact Information

Primary practice address
8001 Youree Dr Suite 960 Shreveport LA 71115-2302
Phone: (318) 212-3706
Fax: (318) 212-3708
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-4232

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1972532166
LBN Legal business name Wk Shreveport Breast Center
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Jun 8th, 2012 - about 14 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 1972532166 NPPES
Louisiana MEDICAID 1447064

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