Provider Demographics
NPI:1740202241
Name:PATE, JOHN W JR (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:PATE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1700 CURIE
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2987
Mailing Address - Country:US
Mailing Address - Phone:915-539-4461
Mailing Address - Fax:915-533-3214
Practice Address - Street 1:1700 CURIE
Practice Address - Street 2:SUITE 3500
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2987
Practice Address - Country:US
Practice Address - Phone:915-539-4461
Practice Address - Fax:915-533-3214
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX004979612086S0122X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Not Answered2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00AL60OtherBXBS
TX00AL60OtherBXBS
D67519Medicare UPIN