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

Wk Louisiana Family Practice

Organization Family Medicine Physician · NPI 1164464889

Wk Louisiana Family Practice provides Family Medicine Physician services in Bossier City, Louisiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2300 Hospital Dr Ste 200
Bossier City, LA 71111-2394 Not confirmed with CMS for 14 years — call before visiting
Phone: (318) 212-7830
Fax: (318) 212-7835
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 number1164464889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-8780
NPI enumeratedJune 11, 2006
Last updated in NPPESJune 8, 2012
Mailing address2300 Hospital Dr, Suite 200, Bossier City, LA 71111-2394

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