Individual
HOLLY WALKER PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
706 TURTLE CREEK DR, TYLER, TX 75701-1833
(903) 595-3942
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
709410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y2778
BCBS OF TEXAS
TX
Enumeration date
10/04/2005
Last updated
06/17/2015
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