Diana Gaddy Patterson P.A.C

NPI 1174827760 - Physician Assistant - 363A00000X

NPI Details
NPI 1174827760
Gender Female
Enumeration Date 12/22/2010
Last Updated 12/22/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
4801 TROUP HWY
#301
TYLER TX, 75703-2356, US
Phone (903) 595-3220
Fax (903) 595-3887
Business Location
4801 TROUP HWY
#301
TYLER TX, 75703-2356, US
Phone (903) 595-3220
Fax (903) 595-3887
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA06919
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According to our database, Diana Gaddy Patterson P.A.C NPI is 1174827760, taxonomy code is 363A00000X and license number is PA06919, license state is located at Texas. Diana Gaddy Patterson P.A.C physically located at 4801 Troup Hwy, Tyler TX, 75703-2356. NPI Number Diana Gaddy Patterson P.A.C has the Individual type.

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1174827760 NPI number is provided on an as is basis without warranty of any kind. 1174827760 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Gaddy Patterson P.A.C are for informational purposes only.