Healthcare Provider Details

I. General information

NPI: 1316802705
Provider Name (Legal Business Name): CHERYL LYNN PATE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E BRAZOS ST
PALESTINE TX
75801-5002
US

IV. Provider business mailing address

56 PIPER LANE #1673
HILLTOP LAKES TX
77871-1673
US

V. Phone/Fax

Practice location:
  • Phone: 903-729-5191
  • Fax:
Mailing address:
  • Phone: 903-724-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number1219288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: