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

Wk Bossier Internal Medicine

Organization Internal Medicine Physician · NPI 1356522452

Wk Bossier Internal Medicine is an Internal Medicine Physician in Bossier City, Louisiana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2400 Hospital Dr Ste 420
Bossier City, LA 71111-2385
Phone: (318) 212-7910
Fax: (318) 752-7915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1356522452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-4232
NPI enumeratedNovember 16, 2007
Last updated in NPPESDecember 16, 2009
Mailing address2400 Hospital Dr, Suite 420, Bossier City, LA 71111-2385

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