MEDICARE: DR. PATRICIA RUTH HASTINGS DO

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	207P00000X	Emergency Medicine Physician	H7752	TX
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	H7752	TX

General Provider Information

NPI Number	:	1477543940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA RUTH HASTINGS DO

Provider Business Mailing Address
First Line	:	PO BOX 340161
Second Line	:
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-0161
Country	:	US
Telephone Number	:	210-221-3484
Fax Number	:	210-221-3821

Provider Business Practice Location Address
First Line	:	BROOKE ARMY MEDICAL CENTER; MCHE-QD / CREDENTIALS
Second Line	:	3851 ROGER BROOKE DR.
City	:	FT. SAM HOUSTON
State	:	TX
Zip	:	78234-6200
Country	:	US
Telephone Number	:	210-221-3484
Fax Number	:	210-221-3821

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	09/11/2025

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