Healthcare Provider Details

I. General information

NPI: 1548079387
Provider Name (Legal Business Name): PATCHES WEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7830 W GRAND PKWY S STE 150
RICHMOND TX
77406-5819
US

IV. Provider business mailing address

7830 W GRAND PKWY S STE 150
RICHMOND TX
77406-5819
US

V. Phone/Fax

Practice location:
  • Phone: 346-826-0800
  • Fax:
Mailing address:
  • Phone: 346-826-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RILEY ORR
Title or Position: COO
Credential:
Phone: 615-314-1406