Individual
ABDUL TATE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 CYPREMORT ST, JEANERETTE, LA 70544-5309
(337) 382-4003
Mailing address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(337) 551-9886
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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