Search › Louisiana › 171M00000X
Anthony Tisdale
NPI 1588245690 · on the registry since 2021
Practice
- Address
- 5704 Sweetwater Dr
Shreveport, LA 71119 - Phone
- (318) 402-2418
- Organisation at this address
- Integrative Healthcare Solutions, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Sex
- Male
- Record last updated
- 2023-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana