Individual
IAN LEWIS PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
135 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1804
(254) 965-2810
Mailing address
135 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1804
(254) 965-2810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14239
TX
Other
Enumeration date
01/27/2021
Last updated
06/07/2021
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