Healthcare Provider Details

I. General information

NPI: 1225444318
Provider Name (Legal Business Name): MRS. LINDSEY PATTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LINDSEY OTT

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 MEDICAL DISTRICT DR
DALLAS TX
75235-7701
US

IV. Provider business mailing address

1935 MEDICAL DISTRICT DR
DALLAS TX
75235-7701
US

V. Phone/Fax

Practice location:
  • Phone: 214-456-7000
  • Fax:
Mailing address:
  • Phone: 214-456-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0204X
TaxonomyPediatric Oncology Clinical Nurse Specialist
License NumberAP126266
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WP0218X
TaxonomyPediatric Oncology Registered Nurse
License Number779892
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: