WK TOTS TO TEENS PEDIATRIC CENTER is a pediatrics in Shreveport, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WK TOTS TO TEENS PEDIATRIC CENTER NPI is 1063769255. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
845 OLIVE ST
SUITE A
SHREVEPORT, LA
ZIP 71104-141
Phone: (318) 226-4892
Fax: (318) 227-4927
The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-4232.
The CLIA number assigned to this NPI record is 19D2045789 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 8/7/2012 and was last updated on 8/7/2012.