Individual
DR. PATRICK JOSEPH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2304 MIDWESTERN PKWY STE 102, WICHITA FALLS, TX 76308-2332
(940) 696-1544
Mailing address
2304 MIDWESTERN PKWY STE 102, WICHITA FALLS, TX 76308-2332
(940) 696-1544
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24738
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Q2717
TX
Other
Enumeration date
07/22/2009
Last updated
08/10/2015
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