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
—
—
Other
Enumeration date
10/05/2018
Last updated
05/07/2020
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