Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35.131959 | OH |
N | 207X00000X | Orthopaedic Surgeon | MD453137 | PA |
N | 207X00000X | Orthopaedic Surgeon | MT202054 | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35.131959 | LA |
NPI | 1053687673 |
---|---|
Provider Name | Nathan Patrick |
First Address | Houma, LA 70360 |
Second Address | Hershey, PA 17033-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 25/05/2021 |