Individual
TEDDY RAY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1524 S IH 35 STE 300, AUSTIN, TX 78704-2603
(512) 382-0222
(512) 382-0765
Mailing address
1524 S IH 35 STE 300, AUSTIN, TX 78704-2603
(512) 382-0222
(512) 382-0765
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
861644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014885
—
TX
Enumeration date
03/20/2018
Last updated
03/20/2018
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