National Provider Identifier Database

TUCKER S BLACKLEDGE, MD – NPI #1134651284
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

TUCKER S BLACKLEDGE, MD
1501 KINGS HWY
PEDIATRICS
SHREVEPORT, LA71103-4228
Phone: 318-626-2274
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatric Hematology-Oncology 2080P0207X

* Indicates primary specialty

NPI Profile & details for TUCKER S BLACKLEDGE

NPI Number 1134651284
Credentials MD
Entity Individual
Enumeration date 03/29/2017
Last updated 08/14/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E-13312
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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