Provider Demographics
NPI:1306670328
Name:TATE, CHRISTY M
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:M
Last Name:TATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17250 DALLAS PKWY STE DF
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1136
Mailing Address - Country:US
Mailing Address - Phone:214-308-0902
Mailing Address - Fax:
Practice Address - Street 1:7272 MARVIN D LOVE FWY APT 414
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3157
Practice Address - Country:US
Practice Address - Phone:214-308-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health