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Individual

MR. PATRICK EDWARD FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 419-2783
(512) 419-2781
Mailing address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 419-2783
(512) 419-2781

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K5099
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0092NG
BCBS
05
0455032-04
TX
Enumeration date
11/30/2006
Last updated
07/10/2008
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