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Individual

PATTI J. PATTERSON

Active
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Individual

PATTI J. PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G3677
TX
2080C0008X
Child Abuse Pediatrics Physician
Primary
G3677
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100149250A
OK
05
121171100
TX
01
121171101
FIRSTCARE COMMERCIAL
TX
05
136924109
TX
05
136924110
TX
05
66551
NM
01
84212Z
HMO BLUE
TX
01
87192G
BC/BS
TX
01
A377
TRIWEST
NM
Enumeration date
11/09/2005
Last updated
12/03/2021
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