Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 747231 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 747231 | TX |
NPI | 1245661735 |
---|---|
Provider Name | Mr. Patrick James Sherlock |
First Address | Arlington, TX 76002-4804 |
Second Address | Arlington, TX 76002-4804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2013 |
Last Update Date | 21/02/2017 |