Individual
THERESA M PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 N BECKLEY AVE, DALLAS, TX 75203-1271
(214) 941-7200
Mailing address
1330 N BECKLEY AVE, DALLAS, TX 75203-1271
(214) 697-2412
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L1162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093JU
BLUE CROSS-BLUE SHIELD
TX
05
—
1574287-01
—
TX
01
—
7350471
AETNA
TX
01
—
P00019789
RAILROAD MEDICARE
TX
Enumeration date
12/18/2006
Last updated
01/09/2009
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