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1811347768 NPI number — ROBERT CHASE PATTERSON D.P.T.

NPI Number: 1811347768
Health Care Provider/Practitioner: ROBERT CHASE PATTERSON D.P.T.

Information about “1811347768” NPI (ROBERT CHASE PATTERSON D.P.T.) exists in 1811347768 in HTML format HTML  |  1811347768 in plain Text format TXT  |  1811347768 in PDF (Portable Document Format) PDF  |  1811347768 in an XML format XML  formats.

NPI Number : 1811347768 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811347768",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATTERSON",
    "FirstName": "ROBERT",
    "MiddleName": "CHASE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1817 NORTHPOINTE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RUSTON",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71270-3879",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-255-9601",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2035 FORT WORTH HWY",
    "SecondLinePracticeLocationAddress": "SUITE 300",
    "PracticeLocationAddressCityName": "WEATHERFORD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76086",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-599-9271",
    "PracticeLocationAddressFaxNumber": "817-599-9295",
    "EnumerationDate": "06/21/2016",
    "LastUpdateDate": "06/19/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1274809",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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