Individual
MRS. JIVA MARIE PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2912 AVENUE E, HONDO, TX 78861-3329
(830) 426-5288
(830) 426-5290
Mailing address
2912 AVENUE E, HONDO, TX 78861-3329
(830) 426-5288
(830) 426-5290
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
AP139482
TX
Other
Enumeration date
02/19/2018
Last updated
08/29/2023
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