Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wk River Cities Interventional Pain

Organization Pain Medicine (Anesthesiology) Physician · NPI 1962447052

Wk River Cities Interventional Pain provides Pain Medicine (Anesthesiology) Physician services in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1811 E Bert Kouns Industrial Loop Ste 300
Shreveport, LA 71105-5740 Not confirmed with CMS for 14 years — call before visiting
Phone: (318) 212-3636
Fax: (318) 212-3649
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1962447052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-8085
NPI enumeratedJune 20, 2006
Last updated in NPPESJune 8, 2012
Mailing address1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740

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