Drago, Patricia D

Drago, Patricia D is an individual health care provider with primary practice located at 2990 N Broadway Ave , Tyler TX 75702-2149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Drago, Patricia D can be contacted via phone (903) 593-1892.

Contact Information

Primary practice address
2990 N Broadway Ave Tyler TX 75702-2149
Phone: (903) 593-1892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 592323 Texas

Profile Details

NPI number 1538241419
LBN Legal business name Drago, Patricia D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 16th, 2014 - about 11 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 1538241419 NPPES
Texas MEDICAID 101388001
Texas MEDICAID 101388003
Texas MEDICAID 101388005
Texas Other 45-2578435
Texas Other 80N282
Texas Other 592323
Texas Other 883N41
Texas MEDICAID 101388004

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