Individual
PATTI J. PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST FL 3, LUBBOCK, TX 79430-0002
(806) 743-7335
(806) 743-4073
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
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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