Individual
MRS. PATRICIA CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 E HOSPITAL DR, ANGLETON, TX 77515-4161
(979) 849-6467
(979) 849-4080
Mailing address
1706 GLEN FALLS LN, PEARLAND, TX 77581-5674
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04210
TX
Other
Enumeration date
09/11/2009
Last updated
10/20/2011
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