Individual
PERRY G PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W COLLEGE ST STE 130, GRAPEVINE, TX 76051-3575
(214) 689-7806
(214) 689-5970
Mailing address
1600 W COLLEGE ST STE 130, GRAPEVINE, TX 76051-3575
(214) 689-7806
(214) 689-5970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
207RI0011X
TX
207RI0200X
Infectious Disease Physician
Primary
H5346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137474611
—
TX
Enumeration date
11/10/2005
Last updated
04/14/2023
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