Provider Demographics
NPI:1487680989
Name:GAYLE, CHRISTOPHER ADAMS (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ADAMS
Last Name:GAYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 YOUREE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-2302
Mailing Address - Country:US
Mailing Address - Phone:318-212-3800
Mailing Address - Fax:318-212-3945
Practice Address - Street 1:8001 YOUREE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-2302
Practice Address - Country:US
Practice Address - Phone:318-212-3800
Practice Address - Fax:318-212-3945
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020128207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106961902Medicaid
LA1929158Medicaid
LA5N910CV12Medicare PIN
LA5N910Medicare PIN
TX106961902Medicaid