TATE PERQUE, PA-C

Physician Assistant

Active Individual
NPI: 1003125055

Practice Address

1453 E BERT KOUNS INDUSTRIAL LOOP STE 318
Shreveport, LA 71105

Phone: (318) 681-1968

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X No PA.200387 (LA)
Physician Assistant 363A00000X Yes PA200387 (LA)

Frequently Asked Questions

NPI 1003125055 is the National Provider Identifier for TATE PERQUE, PA-C, a Physician Assistant provider located in Shreveport, LA. This NPI was enumerated on September 24, 2010.
TATE PERQUE, PA-C practices at 1453 E BERT KOUNS INDUSTRIAL LOOP STE 318, Shreveport, LA 71105.

Quick Facts

NPI
1003125055
Type
Individual
Enumerated
Sep 24, 2010
Last Updated
Jul 28, 2020

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