Individual
GERARD TIFFAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(240) 351-9565
Mailing address
7780 VILLAGE DR, BEAUMONT, TX 77713-8487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8978
TX
Other
Enumeration date
05/12/2006
Last updated
02/17/2026
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