NPI 1639314271

Wk Red River Cardiovascular Surgeons

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Shreveport, LA

Practice location

Address: 2751 Albert L Bicknell Dr Suite 5c, Shreveport, LA 71103-3920
Phone: (318) 227-9777
Fax: (318) 459-1188
Mailing address: 2551 Greenwood Rd Suite 310, Shreveport, LA 71103-3981

Authorised official

Name: Greg J. Gavin
Title: Network Administrator
Phone: (318) 212-4571

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1639314271
Entity type: Organization
NPI issued: 11 Dec 2008
Record last updated: 8 Jun 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.