Healthcare Provider Details

I. General information

NPI: 1710099221
Provider Name (Legal Business Name): ROBERT JOSEPH PATE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E BRAZOS ST
PALESTINE TX
75801
US

IV. Provider business mailing address

118 E BRAZOS ST
PALESTINE TX
75801
US

V. Phone/Fax

Practice location:
  • Phone: 903-729-5191
  • Fax: 903-729-1392
Mailing address:
  • Phone: 903-729-5191
  • Fax: 903-729-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberH3500
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: