OrganizationActive
Wk Pediatric Pulmonology Specialists
NPI 1376910240 · Pediatric Pulmonology Physician · Shreveport, LA
Provider details
- NPI number
- 1376910240
- Entity type
- Organization
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-5780
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2530 Bert Koun Loop
Suite 114
Shreveport, LA 71118-3132
Phone: (318) 212-5781
Fax: (318) 212-5785
Approximate (ZIP-level) locationGet directions
Mailing address
2530 Bert Koun Loop
Shreveport, LA 71118-3132
Registry dates
- Enumerated
- 2015-08-27
- Last updated
- 2015-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.