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Individual
MS. PATRICIA SQUIRES
Active
Individual
MS. PATRICIA SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
586491
TX
363LF0000X
Family Nurse Practitioner
Primary
AP125727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364836201
—
TX
Enumeration date
04/07/2014
Last updated
01/10/2017
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