Wk Frederick And Braud Clinic | |
2508 Bert Kouns Loop Suite 102 Shreveport LA 71118-3133 | |
(318) 212-5777 | |
(318) 212-5888 |
Full Name | Wk Frederick And Braud Clinic |
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Speciality | Family Medicine |
Location | 2508 Bert Kouns Loop, Shreveport, Louisiana |
Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
Authorized Official Contact | 3182124232 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wk Frederick And Braud Clinic 2508 Bert Kouns Loop Suite 102 Shreveport LA 71118-3133 Ph: (318) 212-5777 | Wk Frederick And Braud Clinic 2508 Bert Kouns Loop Suite 102 Shreveport LA 71118-3133 Ph: (318) 212-5777 |
NPI Number | 1386825172 |
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Provider Enumeration Date | 11/20/2007 |
Last Update Date | 07/29/2013 |
Medicare PECOS PAC ID | 8022199553 |
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Medicare Enrollment ID | O20080122000697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386825172 | NPI | - | NPPES |
1024481 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Thanh D Vo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184658635 PECOS PAC ID: 6608894464 Enrollment ID: I20051110000059 |
Provider Name | William Kinnebrew |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831170984 PECOS PAC ID: 8729169750 Enrollment ID: I20080116000436 |
Provider Name | Melanie Frederick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720062235 PECOS PAC ID: 5890876338 Enrollment ID: I20080122000745 |
Provider Name | Pratibha Anne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821228909 PECOS PAC ID: 9638368871 Enrollment ID: I20110104000878 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
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