Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATE JAMES PERQUE, PA-C
Active Sole ProprietorTATE JAMES PERQUE, PA-C is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1003125055 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1003125055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2010 (15.879933442299 yrs)
- Last Updated
- Jul 28, 2020
- Licenses
-
PA.200387 (LA)PA200387 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1453 E BERT KOUNS INDUSTRIAL LOOP STE 318SHREVEPORT, LA, 711056810Browse LA providers · Browse ZIP 71105
- Phone
- 3186811968
- Fax
- 3186811969
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONNA TERRY | PA-C | 1104823947 |
| KIMBERLY E MEYER | PA-C | 1760475651 |
| KENNETH BETZING | PA-C | 1053304048 |
| MARY ALEXIS K GREEN | PA-C | 1366436487 |
| MRS. LORI A STACKOW | PAC | 1467449835 |
| MR. MARVIN KEITH RAINWATER | PA | 1457310773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.