Provider Demographics
NPI:1528266079
Name:TATE, HAROLD FOSTER (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:FOSTER
Last Name:TATE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25101 BEAR VALLEY RD
Mailing Address - Street 2:PMB 178
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-8311
Mailing Address - Country:US
Mailing Address - Phone:661-822-9787
Mailing Address - Fax:661-822-9787
Practice Address - Street 1:24900 HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93581-1031
Practice Address - Country:US
Practice Address - Phone:661-822-4402
Practice Address - Fax:661-822-5004
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG48525207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine