OrganizationActive
Wk Pelvic & Reconstructive Surgery
NPI 1598290249 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Shreveport, LA
Provider details
- NPI number
- 1598290249
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-8780
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8001 Youree Dr
Suite 370
Shreveport, LA 71115-2302
Phone: (318) 212-8780
Fax: (318) 212-6752
Approximate (ZIP-level) locationGet directions
Mailing address
8001 Youree Dr
Shreveport, LA 71115-2302
Registry dates
- Enumerated
- 2017-05-01
- Last updated
- 2017-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.