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Organization
TATE PRIMARY CARE LLC
Active
Organization
TATE PRIMARY CARE LLC
Active
Other names
Port Barre Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA TATE MD (OWNER)
(337) 585-7989
Entity
Organization
Contact information
Practice address
17695 HIGHWAY 190, PORT BARRE, LA 70577-5178
(337) 308-0802
(337) 585-7899
Mailing address
17695 HIGHWAY 190, PORT BARRE, LA 70577-5178
(337) 308-0802
(337) 585-7899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
05/07/2020
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