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Tina Faith Gentry, PA
Medical Physician Assistant in Shreveport, Louisiana
NPI 1730118365

Tina Faith Gentry is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. Tina Faith Gentry practices in Shreveport, LA and has the professional credentials of PA. The NPI Number for Tina Faith Gentry is 1730118365 and holds a License No. A10432 (Louisiana).

The current practice location address for Tina Faith Gentry is 7925 Youree Dr Suite 280B, Shreveport, LA and can be reached out via phone at 318-212-3636 and via fax at 318-212-3649.

Location: 7925 Youree Dr Suite 280B, Shreveport, LA, 71105-5538
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Provider Profile Details
NPI Number
1730118365
Provider Name
Tina Faith Gentry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7925 Youree Dr Suite 280B, Shreveport, LA, 71105-5538
Phone Number
318-212-3636
Fax Number
318-212-3649
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1722901 05 LA
institution
Provider Business Practice Location Address Details
Address
7925 Youree Dr Suite 280B
City
State
Zip
71105-5538
Phone Number
318-212-3636
Fax Number
318-212-3649
person
Provider Business Mailing Address Details
Address
7925 Youree Dr Suite 280B
City
State
Zip
71105-5538
Phone Number
318-212-3636
Fax Number
318-212-3649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10432 (Louisiana)
Definition
Definition to come...
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