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Individual

NICOLE PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
9180 KATY FWY, HOUSTON, TX 77055-7454
(832) 314-4288
Mailing address
15114 RIPPLEWIND LN, HOUSTON, TX 77068-3050
(832) 314-4288

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7150
TX
2255A2300X
Athletic Trainer

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000027947
BOC/ATC
01
AT7150
TDLR/LAT
TX
Enumeration date
02/03/2017
Last updated
03/17/2018
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