Wk Shreveport Center for Geriatric Health
NPI #1114256476 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1114256476
- Entity Type
- Organization
- Organization Name
- Wk Shreveport Center for Geriatric Health
- Primary Specialty
- Psychiatry & Neurology - Geriatric Psychiatry
- Enumeration Date
- Dec 16, 2009
- Last Updated
- Jan 23, 2014
Practice Location
- Address
- 2508 BERT KOUNS LOOP
- Address 2
- SUITE 303
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71118-3133
- Phone
- (318) 212-5850
Authorized Official
- Name
- GREG J. GAVIN
- Title
- NETWORK ADMINISTRATOR
- Phone
- (318) 212-4232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry |
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