Short, Patricia D

Short, Patricia D is an individual health care provider with primary practice located at 504 Medical Center Blvd , Conroe TX 77304-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Short, Patricia D can be contacted via phone (409) 539-1111.

Contact Information

Primary practice address
504 Medical Center Blvd Conroe TX 77304-2808
Fax: (409) 788-8044
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L2647 Texas

Profile Details

NPI number 1942270772
LBN Legal business name Short, Patricia D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 10th, 2015 - about 9 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 1942270772 NPPES
Texas MEDICAID 150791503
Texas Other 8F9646
Texas Other 1942270772
Texas MEDICAID 150791502

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