| Albert M. Tate, Jr. D.d.s.;p.a. | |
|
11149 Research Blvd Suite 270 Austin TX 78759-5279 | |
| (512) 342-7805 | |
| (512) 502-9689 |
| Full Name | Albert M. Tate, Jr. D.d.s.;p.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11149 Research Blvd, Austin, Texas |
| Authorized Official Name and Position | Albert Milner Tate (OWNER) |
| Authorized Official Contact | 5123427805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert M. Tate, Jr. D.d.s.;p.a. 11149 Research Blvd Suite 270 Austin TX 78759-5279 Ph: (512) 342-7805 | Albert M. Tate, Jr. D.d.s.;p.a. 11149 Research Blvd Suite 270 Austin TX 78759-5279 Ph: (512) 342-7805 |
| NPI Number | 1174621759 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174621759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8487 (Texas) | Primary |
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