Healthcare Provider Details

I. General information

NPI: 1588967798
Provider Name (Legal Business Name): LINDA PATTON RN, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2010
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date: 06/17/2016
Reactivation Date: 01/15/2020

III. Provider practice location address

6431 FANNIN, JJL 433
HOUSTON TX
77030
US

IV. Provider business mailing address

PO BOX 948
STAFFORD TX
77497-0948
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-7885
  • Fax: 713-500-0782
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number117004
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number117004
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: