Individual provider · Type 1 NPI

Tate James Perque, PA-C

Physician Assistant · Shreveport, LA

NPI number 1003125055 Active

Practice location

1453 E Bert Kouns Industrial Loop Ste 318
Shreveport, LA 71105-6810

Fax (318) 681-1969

Mailing address

2900 Saint Michael Dr Ste 401
Texarkana, TX 75503-5211

Other practice locations

  • 2751 Albert L Bicknell Dr, Suite 5C, Shreveport, LA 71103-3920 · (318) 227-9777
  • 3315 Centenary Blvd, Shreveport, LA 71104-4503 · (318) 230-3601

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA.200387 (LA)
Physician Assistant Primary 363A00000XPA200387 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003125055

Tate James Perque, PA-C's National Provider Identifier is 1003125055, issued on Sep 24, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 28, 2020.