NPI 1063775823

Clifton Tate, RD

Practitioner Registered Dietitian Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 990-5030

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 273 (LA)

Other Dietitian, Registered providers in Louisiana →

Registry record

NPI: 1063775823
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2012
Record last updated: 18 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.