Tina Faith Gentry, PA

NPI #1730118365 in Shreveport, Louisiana

Provider Information

NPI Number
1730118365
Entity Type
Individual
Name
Tina Faith Gentry, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jul 3, 2006
Last Updated
Apr 14, 2008

Practice Location

Address
7925 YOUREE DR SUITE 280B
ZIP Code
71105-5538
Phone
(318) 212-3636

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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