Wk Shreveport Breast Center in Shreveport - Surgery

Wk Shreveport Breast Center - NPI 1972532166

Wk Shreveport Breast Center is a Surgery in Shreveport, Louisiana. Wk Shreveport Breast Center practices all healthcare services and medical treatments related to Surgery. The NPI Number for Wk Shreveport Breast Center is 1972532166. The last update date is 2012-06-08.

Wk Shreveport Breast Center's current location address is 8001 Youree Dr, Shreveport, Louisiana. You can contact this provider via phone number 3182123706 and fax number 3182123708. The mailing address for Wk Shreveport Breast Center is 8001 Youree Dr, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wk Shreveport Breast Center
Address 8001 Youree Dr, Shreveport, Louisiana
Phone Number 3182123706
Fax Number 3182123708
Sole Proprietor --
Credentials --

Authorized Official

Title or Position NETWORK AD
Authorized Official Name Gavin J. Greg
Telephone Number 3182124232

NPI Number Detail

NPI Number 1972532166
Provider Enumeration Date 2006-07-01
Last Updated Date 2012-06-08

Provider Mailing Address Detail

Address 8001 Youree Dr
City Shreveport
State Louisiana (LA)
Post Code 711152302
Phone Number 3182123706
Fax Number 3182123708

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1447064 LA --

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FAQs about Wk Shreveport Breast Center

What is the unique 10-digit identifier code assigned to Wk Shreveport Breast Center by the Centers for Medicare & Medicaid Services?

The Wk Shreveport Breast Center has been issued the NPI (National Provider Identifier) 1972532166 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Wk Shreveport Breast Center is physically located?

The Wk Shreveport Breast Center is situated at the following address: 8001 Youree Dr, Shreveport, LA 711152302.

What is the area of specialization for Wk Shreveport Breast Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wk Shreveport Breast Center is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1972532166 to Wk Shreveport Breast Center?

The Centers for Medicare & Medicaid Services assigned the 1972532166 to Wk Shreveport Breast Center on 2006-07-01.

As of what date were the details pertaining to Wk Shreveport Breast Center last refreshed?

The information related to the Wk Shreveport Breast Center, including its address, specialty, and other relevant details, was last updated on 2012-06-08.

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