Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tate James Perque, PA-C

Individual provider Surgical Physician Assistant · NPI 1003125055

Tate James Perque, PA-C is a Physician Assistant in Shreveport, Louisiana. Qualified in 2010, 16 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1453 E Bert Kouns Industrial Loop Ste 318
Shreveport, LA 71105-6810
Phone: (318) 681-1968
Fax: (318) 681-1969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200387 (LA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.200387 (LA)

Record details

NPI number1003125055
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 24, 2010
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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