Patterson, Connie Alexandria
Patterson, Connie Alexandria is an individual health care provider with primary practice located at 3851 Roger Brooke Dr , Fort Sam Houston TX 78234-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Patterson, Connie Alexandria can be contacted via phone (210) 221-9878.Contact Information
Primary practice address
3851 Roger Brooke Dr
Fort Sam Houston TX 78234-4501
Phone: (210) 221-9878
Fax: (210) 221-9328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 256929 | Texas |
Profile Details
| NPI number | 1942291752 |
|---|---|
| LBN Legal business name | Patterson, Connie Alexandria |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1942291752 | NPPES |
| Texas | MEDICAID | 1505141 |
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