NPI 1093059073

Wk Regional Transplant Center

Organisation Transplant Surgery Physician Shreveport, LA

Practice location

Address: 2751 Albert L Bicknell Dr 4th Floor, Shreveport, LA 71103-3920
Phone: (318) 212-4275
Fax: (318) 212-4555

Authorised official

Name: Greg J Gavin
Title: Network Administrator
Phone: (318) 212-4532

Registered specialties

Transplant Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204F00000X

Other Transplant Surgery providers in Louisiana →

Registry record

NPI: 1093059073
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.