WK REGIONAL TRANSPLANT CENTER NPI 1093059073

NPI Information

WK REGIONAL TRANSPLANT CENTER is a transplant surgery in Shreveport, LA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee WK REGIONAL TRANSPLANT CENTER NPI is 1093059073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2751 ALBERT L BICKNELL DR
4TH FLOOR
SHREVEPORT, LA
ZIP 71103-920
Phone: (318) 212-4275
Fax: (318) 212-4555

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-4532.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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