Individual
PATRICIA L ARCHILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2716 TIBBETS DR, BEDFORD, TX 76022-6915
(817) 571-6644
(817) 685-7951
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
248897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285838302
CSHCN
TX
05
—
285838303
—
TX
Enumeration date
07/01/2011
Last updated
04/02/2012
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