Individual
MR. BRANDON ALLEN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 CIRCLE WAY ST STE 110, LAKE JACKSON, TX 77566-5239
(979) 217-1789
Mailing address
2018 W RUNDBERG LN APT 20A, AUSTIN, TX 78758-5974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90424
TX
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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