OrganizationActive
Wk River Cities Interventional Pain
NPI 1962447052 · Pain Medicine (Anesthesiology) Physician · Shreveport, LA
Provider details
- NPI number
- 1962447052
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Greg Gavin, Network Administrator
Practice location
1811 E Bert Kouns Industrial Loop
Suite 300
Shreveport, LA 71105-5740
Phone: (318) 212-3636
Fax: (318) 212-3649
Mailing address
1811 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5740
Registry dates
- Enumerated
- 2006-06-20
- 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.