Charles Girard Tisdale PA-C

  • NPI 1821096686
According to our database, the NPI number for Charles Girard Tisdale PA-C is 1821096686 and activated since 18 years ago. Charles Girard Tisdale PA-C is an individual provider who specializes in Surgical, and the primary practice location is 1455 E Bert Koun Loop, Shreveport, LA 71105. You can also contact Charles Girard Tisdale PA-C via telephone number is (318) 798-4623. Provider NPI information was last updated on 12/11/2020.

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Overview of Charles Girard Tisdale PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/14/2005
  • Last updated: 12/11/2020

Primary Scrop of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: PA.A10284
  • License State: LA

Provider Mailing Address

  • Address: 1455 E Bert Koun Loop
    #210
    Shreveport, LA 71105
  • Phone: 318-798-4623
  • Fax: 318-798-4569

Provider Practice Location

  • Address: 1455 E Bert Koun Loop
    #210
    Shreveport, LA 71105
  • Phone: 318-798-4623
  • Fax: 318-798-4569

Scope of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: A10284
  • License State: LA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1626708
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charles Girard Tisdale PA-C?
  • A: The npi number for Charles Girard Tisdale PA-C is 1821096686.
  • Q: What are Charles Girard Tisdale PA-C's specialties?
  • A: Charles Girard Tisdale PA-C's specialties are Surgical and different specialities.
  • Q: What is the medical license for Charles Girard Tisdale PA-C?
  • A: The medical license number for Charles Girard Tisdale PA-C is PA.A10284 and issued in LA in USA.
  • Q: Where is Charles Girard Tisdale PA-C practice location?
  • A: Charles Girard Tisdale PA-C is practicing at 1455 E Bert Koun Loop, Shreveport, LA 71105.
  • Q: How to contact Charles Girard Tisdale PA-C?
  • A: You can contact Charles Girard Tisdale PA-C via 318-798-4623.