Healthcare Provider Details

I. General information

NPI: 1720465164
Provider Name (Legal Business Name): PATSY E SHEARS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3313 ORLANDO
HOUSTON TX
77093
US

IV. Provider business mailing address

3313 ORLANDO
HOUSTON TX
77093
US

V. Phone/Fax

Practice location:
  • Phone: 713-699-9177
  • Fax: 713-699-4538
Mailing address:
  • Phone: 713-699-9177
  • Fax: 713-699-4635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number637167
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1142657
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: