OrganizationActive
Wk Vascular Surgical Associates
NPI 1598096240 · Vascular Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1598096240
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Greg Gavin, Network Administrator
Practice location
2751 Albert L Bicknell Dr
Suite 5a
Shreveport, LA 71103-3920
Phone: (318) 226-0058
Fax: (318) 226-1759
Mailing address
2751 Albert L Bicknell Dr
Shreveport, LA 71103-3920
Registry dates
- Enumerated
- 2010-01-20
- Last updated
- 2012-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.