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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA FAITH GENTRY, PA

Active

TINA FAITH GENTRY, PA is a Medical Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1730118365 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SHREVEPORT, LA

Registration Details

NPI Number
1730118365
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2006 (20.081371495518 yrs)
Last Updated
Apr 14, 2008
Licenses
A10432 (LA)
PAA10432 (LA)

Practice Information

Address
7925 YOUREE DR SUITE 280B
SHREVEPORT, LA, 711055538
Browse LA providers · Browse ZIP 71105
Phone
3182123636
Fax
3182123649
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in SHREVEPORT, LA

Name Credential NPI
MARY MCFERREN PA-C 1114924404
DEBORAH SUSAN HOLLIS PA-C 1871586784
MRS. JEANNIE SHIM MCALLISTER PA-C 1831172931
MR. DAVID STANLEY STATON PA-C 1487616538
SHIVA DOTY PA-C 1912933110
ANNIE KAY JARRETT PA-C 1295751964
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.