Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Willis Knighton Medical Center Inc

Organization Family Medicine Physician · NPI 1457387508

Willis Knighton Medical Center Inc provides Family Medicine Physician services in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8001 Youree Dr Ste 540
Shreveport, LA 71115-2302
Phone: (318) 212-3810
Fax: (318) 212-3815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1457387508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-3810
Other names Larry Flake, Md
NPI enumeratedJune 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8001 Youree Dr, Suite 540, Shreveport, LA 71115-2302

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