TINA FAITH GENTRY PA
NPI 1730118365
Physician Assistant - Medical in Shreveport, LA

Q: What is Tina Gentry's NPI number?

The NPI number for Tina Gentry is 1730118365. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Tina Gentry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tina Gentry was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2006

7925 YOUREE DR SUITE 280B, SHREVEPORT, LA 71105(318) 212-3636(318) 212-3649 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tina Faith Gentry Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA FAITH GENTRY PA (NPI 1730118365) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (A10432) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1730118365

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTINA FAITH GENTRYCredential: PA

Location Address7925 YOUREE DR SUITE 280BShreveport, LA 71105-5538

Mailing Address7925 Youree Dr Suite 280bShreveport, LA 71105-5538

Phone(318) 212-3636

Fax(318) 212-3649

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateApril 14, 2008

✔ NPI 1730118365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in LA · A10432✔ Licensed in LA · PAA10432

7925 YOUREE DR SUITE 280B, Shreveport, LA 71105

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Other Identifiers 3

Medicare UPINP40810LA

Medicaid1722901LA

Medicare PIN5CE19LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Gentry's NPI number?

The NPI number for Tina Gentry is 1730118365. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Tina Gentry located?

Tina Gentry practices at 7925 Youree Dr Suite 280B, Shreveport, LA 71105. The listed phone number is (318) 212-3636.

What is Tina Gentry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tina Gentry was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.