Individual
MR. KEITH PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
555 N LOOP 340, WACO, TX 76705-2573
(254) 299-6822
(254) 799-1831
Mailing address
555 N LOOP 340, WACO, TX 76705-2573
(254) 299-6822
(254) 799-1831
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1847
TX
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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