Healthcare Provider Details

I. General information

NPI: 1609792399
Provider Name (Legal Business Name): PATRICIA ANN STOREY MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 S COLORADO ST
LOCKHART TX
78644-3951
US

IV. Provider business mailing address

2060 S COLORADO ST
LOCKHART TX
78644-3951
US

V. Phone/Fax

Practice location:
  • Phone: 830-875-5700
  • Fax: 830-584-0839
Mailing address:
  • Phone: 830-875-5700
  • Fax: 830-584-0839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number937632
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: