Durham, Patricia
Durham, Patricia is an individual health care provider with primary practice located at 808 Joliet Ave Unit 220 , Lubbock TX 79415-1158. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Durham, Patricia can be contacted via phone (806) 761-0566.Contact Information
Primary practice address
808 Joliet Ave Unit 220
Lubbock TX 79415-1158
Phone: (806) 761-0566
Fax: (806) 744-7252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 525228 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP110323 | Texas |
Profile Details
| NPI number | 1780649632 |
|---|---|
| LBN Legal business name | Durham, Patricia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Aug 28th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780649632 | NPPES |
| Texas | MEDICAID | 092929102 |
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