1740202241 NPI number — MR. JOHN W PATE JR. MD

Table of content: MR. JOHN W PATE JR. MD (NPI 1740202241)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740202241 NPI number — MR. JOHN W PATE JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATE
Provider First Name:
JOHN
Provider Middle Name:
W
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740202241
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 CURIE
Provider Second Line Business Mailing Address:
SUITE 3500
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79902-2987
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-539-4461
Provider Business Mailing Address Fax Number:
915-533-3214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 CURIE
Provider Second Line Business Practice Location Address:
SUITE 3500
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79902-2987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-539-4461
Provider Business Practice Location Address Fax Number:
915-533-3214
Provider Enumeration Date:
07/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2086S0122X , with the licence number:  00497961 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2086X0206X , with the licence number: 00497961 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00AL60 . This is a "BXBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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