Dr. Patrick Leroy Mahan
Occupational Health
302 E Beauregard Ave
San Angelo
, Texas 76903-5923
Dr. Patrick Leroy Mahan
Occupational Health
302 E Beauregard Ave
San Angelo
, Texas 76903-5923
(325) 655-1036
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About
Features
Specialties
- Occupational Health
Languages spoken
- English
Location
First Address
- Dr. Patrick Leroy Mahan
- 302 E Beauregard Ave
- San Angelo, TX
- Zip : 76903-5923
- Fax : (325) 655-1036
- Phone : (325) 655-1070
Second Address
- Dr. Patrick Leroy Mahan
- 302 E Beauregard Ave
- San Angelo, TX
- Zip : 76903-5923
- Fax : (325) 655-1036
- Phone : (325) 655-1070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0100X | Occupational Health | DC 2748 | TX |
National Provider Identifier
| NPI | 1700818325 |
|---|---|
| Provider Name | Dr. Patrick Leroy Mahan |
| First Address | San Angelo, TX 76903-5923 |
| Second Address | San Angelo, TX 76903-5923 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 23/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 350043251 | RAILROAD MEDICARE (01) | TX |
| 601089 | BLUE CROSS BLUE SHIELD (01) | TX |
| T14554 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.