MEDICARE: DR. DEBRA PATTERSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	E8804	TX

General Provider Information

NPI Number	:	1003228024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA PATTERSON M.D.

Provider Business Mailing Address
First Line	:	6510 MIMOSA LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-5210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6510 MIMOSA LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-5210
Country	:	US
Telephone Number	:	214-293-5299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2014
Last Update Date	:	05/25/2014

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