NPI Code Details Logo

NPI 1811324080

NPI 1811324080 : BYRON HEATH PATTERSON PHARM D : SWEETWATER, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811324080
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BYRON HEATH PATTERSON PHARM D
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/03/2013
-----------------------------------------------------
    Last Update Date     |    10/03/2013
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    210 SW GEORGIA AVE 
-----------------------------------------------------
    City                 |    SWEETWATER
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79556
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    325-235-4077
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    126 IDLE CREEK TRL 
-----------------------------------------------------
    City                 |    ABILENE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79602-7536
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    325-370-1204
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    50825
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.