Individual
ERICA VARIE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112
(504) 702-4200
(504) 702-5727
Mailing address
1430 TULANE AVE # 8716, NEW ORLEANS, LA 70112-2632
(504) 988-7518
(504) 988-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
133923
CA
207R00000X
Internal Medicine Physician
Primary
304887
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2013
Last updated
01/18/2019
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