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

Wk Tots to Teens Pediatric Center

Organization Pediatrics Physician · NPI 1063769255

Wk Tots to Teens Pediatric Center provides Pediatrics Physician services in Shreveport, Louisiana. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

845 Olive St Ste A
Shreveport, LA 71104-2141 Not confirmed with CMS for 14 years — call before visiting
Phone: (318) 226-4892
Fax: (318) 227-4927
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1063769255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-4232
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address845 Olive St, Suite A, Shreveport, LA 71104-2141

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