CHARLES TISDALE, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1821096686
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | PA.A10284 (LA) |
Frequently Asked Questions
NPI 1821096686 is the National Provider Identifier for CHARLES TISDALE, PA-C, a Physician Assistant - Surgical provider located in Shreveport, LA. This NPI was enumerated on July 14, 2005.
CHARLES TISDALE, PA-C practices at 1500 LINE AVE STE 100, Shreveport, LA 71101.
Quick Facts
- NPI
- 1821096686
- Type
- Individual
- Enumerated
- Jul 14, 2005
- Last Updated
- Nov 24, 2025
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