MEDICARE: MRS. PATRICIA ELIZABETH CUTSHAVER 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	733220	TX

General Provider Information

NPI Number	:	1376470245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA ELIZABETH CUTSHAVER RN

Provider Business Mailing Address
First Line	:	1512 TEXAS AVE S STE 500
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-3387
Country	:	US
Telephone Number	:	979-213-5728
Fax Number	:	979-485-5520

Provider Business Practice Location Address
First Line	:	1512 TEXAS AVE S STE 500
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-3387
Country	:	US
Telephone Number	:	979-213-5728
Fax Number	:	979-485-5520

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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