Wk Tots to Teens Pediatric Center

NPI #1063769255 in Shreveport, Louisiana

Provider Information

NPI Number: 1063769255
Entity Type: Organization
Organization Name: Wk Tots to Teens Pediatric Center
Primary Specialty: Pediatrics
Enumeration Date: Aug 7, 2012
Last Updated: Aug 7, 2012

Practice Location

Address: 845 OLIVE ST
Address 2: SUITE A
City: Shreveport
State: Louisiana
ZIP Code: 71104-2141
Phone: (318) 226-4892

Authorized Official

Name: GREG J GAVIN
Title: NETWORK ADMINISTRATOR
Phone: (318) 212-4232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

Similar Providers

Provider Name	Specialty	City
MR. Scott E Ritch, MD	Pediatrics	Shreveport	AI Deep Dive
DR. Robert Davis Haynie, MD	Pediatrics	Shreveport	AI Deep Dive
MRS. Sharye V Atchison, MD	Pediatrics	Shreveport	AI Deep Dive
DR. Clifton M Vaughan, M.D.	Pediatrics	Shreveport	AI Deep Dive
DR. Monica L Haynes, M.D.	Pediatrics	Shreveport	AI Deep Dive

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