Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | N8834 | TX |
NPI | 1508040411 |
---|---|
Provider Name | Dr. Ryan Patterson |
First Address | Tyler, TX 75701-8336 |
Second Address | Tyler, TX 75701-8336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 06/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
282712301 | (05) | TX |