Individual
TODD A PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
44797
MN
207T00000X
Neurological Surgery Physician
Primary
N1052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689448800
—
MN
01
—
8BC076
BCBS OF TEXAS
TX
Enumeration date
01/06/2006
Last updated
10/13/2014
Update your record
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