MEDICARE: TEMEKA L. TATE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	N6707	TX

General Provider Information

NPI Number	:	1407056443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMEKA L. TATE MD

Provider Business Mailing Address
First Line	:	PO BOX 678429
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-8429
Country	:	US
Telephone Number	:	469-734-1209
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 W PARK BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-3542
Country	:	US
Telephone Number	:	214-473-8822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	09/30/2014

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