Patterson, Connie Alexandria

Patterson, Connie Alexandria is an individual health care provider with primary practice located at 3851 Roger Brooke Dr , Fort Sam Houston TX 78234-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Patterson, Connie Alexandria can be contacted via phone (210) 221-9878.

Contact Information

Primary practice address
3851 Roger Brooke Dr Fort Sam Houston TX 78234-4501
Fax: (210) 221-9328
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 256929 Texas

Profile Details

NPI number 1942291752
LBN Legal business name Patterson, Connie Alexandria
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942291752 NPPES
Texas MEDICAID 1505141

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