Craddock, Patrick A
Craddock, Patrick A is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Craddock, Patrick A can be contacted via phone (505) 841-1125.Contact Information
Primary practice address
1100 Central Ave Se
Albuquerque NM 87106-4930
Phone: (505) 841-1125
Fax: (505) 841-1737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD2013-0163 | New Mexico |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15623C | Wyoming |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M1605 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | M1605 | Texas |
Profile Details
| NPI number | 1477518710 |
|---|---|
| LBN Legal business name | Craddock, Patrick A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Mar 5th, 2024 - about 9 months 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 | 1477518710 | NPPES |
| Texas | MEDICAID | 177154502 |
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