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Shivana Tate is one of 37 physician assistants practicing in Boerne, Texas .
Shivana Tate practices with Conviva Medical Center Management Of Texas, P.A.
Registry record (NPPES)
NPI
1487122206
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
136 Old San Antonio Rd Ste 406 Boerne, TX 78006-3341 (830) 331-4270
Enumerated
Nov 9, 2018
Record last updated
May 18, 2020
License states listed
CA
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
136 Old San Antonio Rd Suite 406
Boerne , TX 78006
(830) 331-4270
260 US Hwy 181 N
Floresville , TX 78114
(830) 393-8222
More physician assistants in Boerne
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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