Wk Tots To Teens Pediatric Center

NPI 1063769255 - Pediatrics - 208000000X

NPI Details
NPI 1063769255
Enumeration Date 08/07/2012
Last Updated 08/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GREG J GREG
Position NETWORK ADMINISTRATOR
Phone (318) 226-4892
Fax (318) 227-4927
Practice Location
845 OLIVE ST
SUITE A
SHREVEPORT LA, 71104-2141, US
Phone (318) 226-4892
Fax (318) 227-4927
Business Location
845 OLIVE ST
SUITE A
SHREVEPORT LA, 71104-2141, US
Phone (318) 226-4892
Fax (318) 227-4927
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1063769255 NPI Number
 

According to our database, Wk Tots To Teens Pediatric Center NPI is 1063769255, taxonomy code is 208000000X Wk Tots To Teens Pediatric Center physically located at 845 Olive St, Shreveport LA, 71104-2141. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063769255 NPI number is provided on an as is basis without warranty of any kind. 1063769255 is maintained by the National Plan & Provider Enumeration System. The contents of Wk Tots To Teens Pediatric Center are for informational purposes only.