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

Wk Tri-State Medical Clinic

Organization Internal Medicine Physician · NPI 1225082746

Wk Tri-State Medical Clinic is an Internal Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3981
Phone: (318) 621-2929
Fax: (318) 621-2930
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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 number1225082746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-4571
NPI enumeratedMay 20, 2006
Last updated in NPPESOctober 5, 2012
Mailing address2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981

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