Individual
TINA L CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7301 HENNESSY BLVD, SUITE 200, BATON ROUGE, LA 70808-4384
(225) 765-6453
(225) 768-2424
Mailing address
4499 MEDICAL DR STE 235, SAN ANTONIO, TX 78229-3712
(210) 692-1613
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
026892
LA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
N2454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07057
—
LA
05
—
1072052
—
LA
Enumeration date
05/22/2007
Last updated
08/20/2024
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