WK TOTS TO TEENS PEDIATRIC CENTER

SHREVEPORT, LA
NPI1063769255
Entity TypeOrganization
Authorized ContactGREG J GAVIN
Network Administrator
318-212-4232
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
WK TOTS TO TEENS PEDIATRIC CENTER
845 OLIVE ST SUITE A
SHREVEPORT, LA 71104-2141
Phone number: 318-226-4892
Mailing Address
WK TOTS TO TEENS PEDIATRIC CENTER
845 OLIVE ST SUITE A
SHREVEPORT, LA 71104-2141
Phone number: 318-226-4892