Healthcare Provider Details

I. General information

NPI: 1295179836
Provider Name (Legal Business Name): ASHLEY M PATTERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY M PATTERSON M.D.

II. Dates (important events)

Enumeration Date: 04/25/2013
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 E MOSSY OAKS RD STE 480
SPRING TX
77389-1813
US

IV. Provider business mailing address

2255 E MOSSY OAKS RD STE 480
SPRING TX
77389-1813
US

V. Phone/Fax

Practice location:
  • Phone: 954-263-1424
  • Fax:
Mailing address:
  • Phone: 954-263-1424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS2457
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 126576
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: