Sprague, Pati Jean

Sprague, Pati Jean is an individual health care provider with primary practice located at 2411 Fountain View Dr Ste. 200, Houston TX 77057-4817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Sprague, Pati Jean can be contacted via phone (713) 620-4000.

Contact Information

Primary practice address
2411 Fountain View Dr Ste. 200 Houston TX 77057-4817
Phone: (713) 620-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 527947 Texas

Profile Details

NPI number 1922092170
LBN Legal business name Sprague, Pati Jean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jun 24th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922092170 NPPES
Texas Other 033360 RECERTIFICATION AANA
Texas Other 83818U RECERTIFICATION AANA
Texas Other P00266404 RECERTIFICATION AANA
Texas Other 85288U RECERTIFICATION AANA
Texas MEDICAID 137819215 RECERTIFICATION AANA
Texas MEDICAID 137819216 RECERTIFICATION AANA

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