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

Wk Portico Pediatrics

Organization Pediatrics Physician · NPI 1083940191

Wk Portico Pediatrics is a Pediatrics Physician in Shreveport, Louisiana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

7847 Youree Dr
Shreveport, LA 71105-5505
Phone: (318) 212-3930
Fax: (318) 212-3935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1083940191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-4232
NPI enumeratedOctober 23, 2009
Last updated in NPPESOctober 23, 2009
Mailing address7847 Youree Dr, Shreveport, LA 71105-5505

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