MEDICARE: DR. BRENT ANDREW PATTERSON MD

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	207UN0901X	Nuclear Cardiology Physician	M5433	TX
2	207R00000X	Internal Medicine Physician	MD25730	OR
3	207RC0000X	Cardiovascular Disease Physician	M5433	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8L14634	OTHER	TX	MEDICARE ID

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	:	1487615274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENT ANDREW PATTERSON MD

Provider Business Mailing Address
First Line	:	7150 N PRESIDENT GEORGE BUSH HWY STE 206
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2208
Country	:	US
Telephone Number	:	972-276-8994
Fax Number	:	844-292-1462

Provider Business Practice Location Address
First Line	:	7150 N PRESIDENT GEORGE BUSH HWY STE 206
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2208
Country	:	US
Telephone Number	:	972-276-8994
Fax Number	:	844-292-1462

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	10/12/2020

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Directions to “ DR. BRENT ANDREW PATTERSON MD” Practice Location

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