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NPI Code Detail

MEDICARE: WK BOSSIER ENT & ALLERGY INSTITUTE

MEDICARE: WK BOSSIER ENT & ALLERGY INSTITUTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician

General Provider Information

NPI Number : 1851918486
Entity Type Code : Organization
Provider Name (Legal Business Name) : WK BOSSIER ENT & ALLERGY INSTITUTE
Provider Business Mailing Address
First Line : 2449 HOSPITAL DR STE 280
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-1900
Country : US
Telephone Number : 318-212-7288
Fax Number : 318-212-7295
Provider Business Practice Location Address
First Line : 2449 HOSPITAL DR STE 280
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-1900
Country : US
Telephone Number : 318-212-7288
Fax Number : 318-212-7295
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : MRS. MARY JANE WARD
Credential :
Telephone Number : 318-716-4939
Provider Enumeration Date : 06/30/2020
Last Update Date : 06/08/2026

Similar Medicare Providers

1851787071 — JOHN P LAVO MD
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7288
Practice Fax: 318-212-7295
1932595154 — KEVIN A. MOORE MD
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1124679865 — SAMANTHA TEER MSN, FNP-C
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Practice Fax:
1679069819 — JOHN HAYDEN HOLTZCLAW AU.D.
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
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Practice Fax: 318-212-7295
1255264719 — BRITTANI LAWSON APRN, FNP-C
Practice Location Address:
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BOSSIER CITY, LA
71111-1900
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1508862905 — GERARD DAYLE HENRY M.D.
Practice Location Address:
2449 HOSPITAL DR , STE 280
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Directions to “WK BOSSIER ENT & ALLERGY INSTITUTE ” Practice Location

Language Start Address Practice Location
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