Individual
DR. PATRICK LEROY MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
302 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5923
(325) 655-1070
(325) 655-1036
Mailing address
302 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5923
(325) 655-1070
(325) 655-1036
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
DC 2748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350043251
RAILROAD MEDICARE
TX
01
—
601089
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/06/2006
Last updated
01/23/2009
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