1821096686 Charles Girard Tisdale, PA-C
Surgical Physician Assistant
Active
Basic Information
- Full Name
- Charles Girard Tisdale, PA-C
- Gender
- Male
- Enumeration Date
- July 14, 2005
- Last Update
- August 23, 2024
Practice Location
- Address
- 1455 E BERT KOUN LOOP
#210
SHREVEPORT, LA 711055634 - Phone
- (318) 798-4623
- Fax
- (318) 798-4569
Mailing Address
- Address
- 1455 E BERT KOUN LOOP
#210
SHREVEPORT, LA 711055634 - Phone
- (318) 798-4623
- Fax
- (318) 798-4569
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Surgical Physician Assistant Surgical | 363AS0400X | Physician Assistant | A10284 | LA | No |
| Surgical Physician Assistant Surgical | 363AS0400X | Physician Assistant | PA.A10284 | LA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626708 | 05 | LA | N/A |
Digital Endpoints
DIRECT Use: DIRECT
charles.tisdale.p1@direct.hcapmc.nextgenshare.com
Frequently Asked Questions
What is Charles Girard Tisdale, PA-C's NPI number?
Charles Girard Tisdale, PA-C's NPI number is 1821096686.
Which doctor has NPI number 1821096686?
The doctor with NPI number 1821096686 is Charles Girard Tisdale, PA-C.
What is Charles Girard Tisdale, PA-C's practice address?
Charles Girard Tisdale, PA-C's practice address is 1455 E BERT KOUN LOOP, #210, SHREVEPORT, LA, 711055634.
Which doctor practices at 1455 E BERT KOUN LOOP, #210, SHREVEPORT, LA, 711055634?
Charles Girard Tisdale, PA-C practices at 1455 E BERT KOUN LOOP, #210, SHREVEPORT, LA, 711055634.
What is Charles Girard Tisdale, PA-C's phone number?
Charles Girard Tisdale, PA-C's phone number is (318) 798-4623.
Who is (318) 798-4623?
(318) 798-4623 is the phone number for Charles Girard Tisdale, PA-C.
What is Charles Girard Tisdale, PA-C's specialty?
Charles Girard Tisdale, PA-C's specialty is Surgical Physician Assistant.
What type of doctor is Charles Girard Tisdale, PA-C?
Charles Girard Tisdale, PA-C is a Surgical Physician Assistant.
Is Charles Girard Tisdale, PA-C a Surgical?
Yes, Charles Girard Tisdale, PA-C is a Surgical.
Is Charles Girard Tisdale, PA-C still practicing?
Yes, Charles Girard Tisdale, PA-C is currently practicing.
Is Charles Girard Tisdale, PA-C accepting new patients?
Charles Girard Tisdale, PA-C may be accepting new patients. Please call their office at (318) 798-4623 to inquire about availability.
Is NPI 1821096686 still active?
Yes, NPI 1821096686 is currently active.
Where does Charles Girard Tisdale, PA-C practice?
Charles Girard Tisdale, PA-C practices in SHREVEPORT, LA.
Is Charles Girard Tisdale, PA-C a male or female doctor?
Charles Girard Tisdale, PA-C is a male doctor.