MEDICARE: JOSHUA PATTERSON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA06622	TX
2	363AM0700X	Medical Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053643890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA PATTERSON PA

Provider Business Mailing Address
First Line	:	525 NORTHRIDGE ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-0826
Country	:	US
Telephone Number	:	214-493-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 LONG PRAIRIE RD STE 100
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2212
Country	:	US
Telephone Number	:	972-691-9190
Fax Number	:	972-691-3841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	02/02/2024

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Directions to “ JOSHUA PATTERSON PA” Practice Location

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