Tyler Gilmore, MD
Emergency Medicine in Shreveport, LA. Individual provider (NPI-1).
NPI number1316575673
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1316575673
- Entity type
- Individual (NPI-1)
- Name
- Tyler Gilmore
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2020
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 330881 | LA | Yes |
Practice location
1501 Kings HighwayEmergency Medicine
Shreveport, LA 71130-3932
Phone 318-626-1036
Mailing address
1501 Kings HighwayEmergency Medicine
Shreveport, LA 71130-3932
Phone 318-626-1036
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All 120 Emergency Medicine Physician providers in Shreveport · All 11,081 providers in Shreveport
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