NPI 1851197537

Annias Tate

Practitioner Driver Conway, AR

Practice location

Address: 2107 Pleasant Valley Dr, Conway, AR 72032-2544
Phone: (870) 995-5275
Mailing address: 1111 Main St # 974, Conway, AR 72032-5455

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1851197537
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2025
Record last updated: 22 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.