MEDICARE: BRIONA PATTERSON RN

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	171M00000X	Case Manager/Care Coordinator	854901	TX

General Provider Information

NPI Number	:	1154809432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIONA PATTERSON RN

Provider Business Mailing Address
First Line	:	7929 CHURCHILL WAY APT 1318
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-2088
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 W MOCKINGBIRD LN STE 1030
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-5028
Country	:	US
Telephone Number	:	469-730-3284
Fax Number	:

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

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	07/30/2018

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