TATE J PERQUE — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, LA)
TATE J PERQUE — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, LA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TATE J PERQUE; Type: Individual; NPI: 1003125055.
| Name | TATE J PERQUE |
|---|---|
| Type | Individual |
| NPI | 1003125055 |
| Provider type | PRACTITIONER - PHYSICIAN ASSISTANT |
| State | LA |
| Enrollment ID | I20101011001187 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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