Wk Spine & Pain Specialists
Pain Medicine, Interventional Pain Medicine in Bossier City, LA. Organization (NPI-2).
NPI number1982065645
StatusActive
Last updated in NPPESMar 9, 2016
Details
- NPI
- 1982065645
- Entity type
- Organization (NPI-2)
- Legal business name
- Wk Spine & Pain Specialists
- Organization subpart
- No
- Enumeration date
- Mar 9, 2016
- Last updated
- Mar 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | MD.199995 | LA | Yes |
Practice location
2449 Hospital DrSuite 300
Bossier City, LA 71111-2399
Phone 318-212-7960 · Fax 318-212-7965
Mailing address
2449 Hospital DrSuite 300
Bossier City, LA 71111-2399
Phone 318-212-7960 · Fax 318-212-7965
Authorized official
Greg J Gavin
Administrator
3182128951
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.