=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629461249
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICIA ANN BATISTE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2015
-----------------------------------------------------
Last Update Date | 09/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3128 S HIGHWAY 35
-----------------------------------------------------
City | ALVIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77511-4737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-886-8964
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2600 FM 1764 RD STE 190
-----------------------------------------------------
City | LA MARQUE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77568-2826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-886-8964
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | AP126807
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------