Peterson Fontenot, Patricia L

Peterson Fontenot, Patricia L is an individual health care provider with primary practice located at 341 Wheatfield Dr Ste 190 , Sunnyvale TX 75182-4639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peterson Fontenot, Patricia L can be contacted via phone (469) 436-3650.

Contact Information

Primary practice address
341 Wheatfield Dr Ste 190 Sunnyvale TX 75182-4639
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J7628 Texas

Profile Details

NPI number 1871524199
LBN Legal business name Peterson Fontenot, Patricia L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 24th, 2021 - about 4 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 1871524199 NPPES
Texas MEDICAID 091992004
Texas MEDICAID 179201201

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