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Contact Information

ELIZA TATE, MD
17695 HIGHWAY 190
PORT BARRE, LA70577
 Phone: 337-585-7989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELIZA TATE · (Female)

NPI Number 1184010605
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2015
Last updated 05/07/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 310597
Hospital affiliation(s)
  • OPELOUSAS GENERAL HEALTH SYSTEM - (Acute Care)
    539 EAST PRUDHOMME STREET
    OPELOUSAS, LA 70570
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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