Patterson, Patti J.
Patterson, Patti J. is an individual health care provider with primary practice located at 3601 4Th St Fl 3 , Lubbock TX 79430-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Patterson, Patti J. can be contacted via phone (806) 743-7335.Contact Information
Primary practice address
3601 4Th St Fl 3
Lubbock TX 79430-0002
Phone: (806) 743-7335
Fax: (806) 743-4073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G3677 | Texas |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | G3677 | Texas |
Profile Details
| NPI number | 1356322135 |
|---|---|
| LBN Legal business name | Patterson, Patti J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Dec 3rd, 2021 - about 5 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 | 1356322135 | NPPES |
| Texas | MEDICAID | 136924109 | |
| Texas | Other | 84212Z | |
| Texas | Other | 121171101 | |
| Texas | MEDICAID | 121171100 | |
| Texas | MEDICAID | 136924110 | |
| Texas | MEDICAID | 66551 | |
| Texas | MEDICAID | 100149250A | |
| Texas | Other | 87192G | |
| Texas | Other | A377 |
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