Tate James Perque, PA-C
NPI #1003125055 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1003125055
- Entity Type
- Individual
- Name
- Tate James Perque, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 24, 2010
- Last Updated
- Jul 28, 2020
Practice Location
- Address
- 1453 E BERT KOUNS INDUSTRIAL LOOP STE 318
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-6810
- Phone
- (318) 681-1968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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