Individual
MS. JACALYN B PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.A.
Contact information
Practice address
21 GLENEAGLES LN, BULVERDE, TX 78163-3121
(210) 862-7975
Mailing address
21 GLENEAGLES LN, BULVERDE, TX 78163-3121
(210) 862-7975
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
50433
TX
237700000X
Hearing Instrument Specialist
50433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50433
STATE LICENSE
TX
Enumeration date
10/13/2005
Last updated
08/06/2013
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