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Organization

RACHAEL A TATE MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RACHAEL A TATE MD (OWNER / OPERATOR)
(337) 948-4030
Entity
Organization

Contact information

Practice address
1270 ATTAKAPAS DR, SUITE 402, OPELOUSAS, LA 70570-6549
(337) 948-4030
(337) 948-2008
Mailing address
1270 ATTAKAPAS DR, SUITE 402, OPELOUSAS, LA 70570-6549
(337) 948-4030
(337) 948-2008

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
201217
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558563320
PHYSICIAN'S INDIVIDUAL NPI
LA
Enumeration date
07/23/2009
Last updated
07/23/2009
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