Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | E8804 | TX |
Y | 111NI0900X | Internist | E8804 | TX |
NPI | 1003228024 |
---|---|
Provider Name | Dr. Debra Patterson |
First Address | Dallas, TX 75230-5210 |
Second Address | Dallas, TX 75230-5210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2014 |
Last Update Date | 25/05/2014 |