Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | L7103 | TX |
N | 207RX0202X | Medical Oncology | L7103 | TX |
NPI | 1003839820 |
---|---|
Provider Name | Dr. Debra Ann Patt |
First Address | Dallas, TX 75391-1230 |
Second Address | Austin, TX 78731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 16/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
181448501 | (05) | TX |
181448502 | (05) | TX |
181448504 | (05) | TX |
181448505 | (05) | TX |
181448506 | (05) | TX |
181448507 | (05) | TX |
181448508 | (05) | TX |
181448509 | (05) | TX |
181448510 | (05) | TX |
8W0430 | BLUECROSS BLUE SHIELD (01) | TX |
H95843 | (02) |