Individual
DR. BRENT ANDREW PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD25730
OR
207RC0000X
Cardiovascular Disease Physician
Primary
M5433
TX
207UN0901X
Nuclear Cardiology Physician
M5433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270032
—
OR
01
—
8L14634
MEDICARE ID
TX
Enumeration date
03/31/2006
Last updated
10/12/2020
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