Wkmc Cardiovascular Consultants
Internal Medicine, Cardiovascular Disease in Shreveport, LA. Organization (NPI-2).
NPI number1801205802
StatusActive
Last updated in NPPESJul 21, 2021
Details
- NPI
- 1801205802
- Entity type
- Organization (NPI-2)
- Legal business name
- Wkmc Cardiovascular Consultants
- Organization subpart
- No
- Enumeration date
- Aug 5, 2014
- Certification date
- Jul 21, 2021
- Last updated
- Jul 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
Practice location
2727 Hearne Ave Ste 301Shreveport, LA 71103-3918
Phone 318-631-6400 · Fax 318-631-0300
Mailing address
2727 Hearne Ave Ste 301Shreveport, LA 71103-3918
Phone 186-316-4003 · Fax 318-631-0300
Authorized official
Mary Jane Ward
Sr. Vp Of Finance
3187164937
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