Provider Demographics
NPI:1285426916
Name:TRASK, TIERA (ARRT(RT)(R)(MR))
Entity type:Individual
Prefix:MISS
First Name:TIERA
Middle Name:
Last Name:TRASK
Suffix:
Gender:F
Credentials:ARRT(RT)(R)(MR)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6081 MOUNES ST APT M322
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70123-8118
Mailing Address - Country:US
Mailing Address - Phone:504-460-5861
Mailing Address - Fax:
Practice Address - Street 1:6081 MOUNES ST APT M322
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123-8118
Practice Address - Country:US
Practice Address - Phone:504-460-5861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5622352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology