Individual
BRITTANY G TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, ATTN: CREDENTIALING DEPT., AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311570 A
—
OK
05
—
219508301
—
TX
05
—
219508302
—
TX
05
—
95326863
—
NM
Enumeration date
11/01/2010
Last updated
05/13/2016
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