Dr TATE J PERQUE is a male medical professional, specializing in Physician Assistant. He graduated in 2010.
LOURDES PHYSICIAN GROUP LLC
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE
LA
705086917
Tel: 3374702990
Npi | 1003125055 |
Pac Id | 4880886605 |
Professional Enrollment Id | I20101011001187 |
Last Name | PERQUE |
First Name | TATE |
Middle Name | J |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2010 |
Primary Specialty | PHYSICIAN ASSISTANT |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | LOURDES PHYSICIAN GROUP LLC |
Group Practice Pac Id | 7214177757 |
Number Of Group Practice Members | 69 |
Line 1 Street Address | 4801 AMBASSADOR CAFFERY PKWY |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | LAFAYETTE |
State | LA |
Zip Code | 705086917 |
Phone Number | 3374702990 |
Hospital Affiliation Ccn 1 | 190102 |
Hospital Affiliation Lbn 1 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
Hospital Affiliation Ccn 2 | 190263 |
Hospital Affiliation Lbn 2 | HEART HOSPITAL OF LAFAYETTE |
Hospital Affiliation Ccn 3 | 190064 |
Hospital Affiliation Lbn 3 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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