Individual
PATTI DALE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-6152
Mailing address
909 30TH ST, HONDO, TX 78861-3508
(830) 426-3229
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
500836
TX
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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