Doctor Name: | DR. DAVID ANTHONY TATE |
NPI Number: | 1679578108 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 6145 |
Business Practice Address: | 109 E 5th St Kaplan, LA - 705484113 |
Business Phone Number: | 3376438096 |
Business Fax Number: | 3376436046 |
Mailing Address: | Po Box 790, KAPLAN |
State: | LA |
Postal Code: | 705480790 |
Phone Number: | 3376438096 |
Fax Number: | 3376436046 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |