Patrick, Todd A
Patrick, Todd A is an individual health care provider with primary practice located at 910 E Houston St Ste 330, Tyler TX 75702-8369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Patrick, Todd A can be contacted via phone (903) 525-7995.Contact Information
Primary practice address
910 E Houston St Ste 330
Tyler TX 75702-8369
Phone: (903) 525-7995
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 44797 | Minnesota |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | N1052 | Texas |
Profile Details
NPI number | 1629056908 |
---|---|
LBN Legal business name | Patrick, Todd A |
Credentials | MD PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Oct 13th, 2014 - about 10 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 | 1629056908 | NPPES |
Minnesota | MEDICAID | 689448800 | |
Minnesota | Other | 8BC076 |
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