Individual
MR. GREGORY SCOTT PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 882-3680
(818) 787-5135
Mailing address
7141 PLOVER CIR, FORT WORTH, TX 76135-4427
(817) 675-3605
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
455551
TX
Other
Enumeration date
12/29/2005
Last updated
07/09/2007
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