Individual
MR. SAMUEL HENRY PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 1ST ST, 49 MEDICAL GROUP, HOLLOMAN AFB, NM 88330-8273
(575) 572-5676
Mailing address
200 1ST ST., BLDG 17, HOLLOMAN AFB, NM 88330
(575) 572-5676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2382
TX
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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