Individual
MRS. PATRICIA WILLS BAGNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6701 FANNIN, HOUSTON, TX 77030
(832) 822-4890
(832) 825-1449
Mailing address
TWO GREENWAY PLAZA, SUITE 900, HOUSTON, TX 77046
(713) 798-1750
(713) 798-1187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
522755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044337601
—
TX
Enumeration date
06/24/2005
Last updated
10/15/2014
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