OrganizationActive
Wk Pediatric Surgical Associates
NPI 1316386436 · Pediatric Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1316386436
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-4232
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2508 Bert Kouns Loop
Shreveport, LA 71118-3133
Phone: (318) 212-5880
Fax: (318) 212-5885
Approximate (ZIP-level) locationGet directions
Mailing address
2508 Bert Kouns Loop
Shreveport, LA 71118-3133
Registry dates
- Enumerated
- 2013-06-21
- Last updated
- 2013-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.