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NPI Code Detail

MEDICARE: STEVEN LEWIS PATTERSON CRNA

MEDICARE: STEVEN LEWIS PATTERSON CRNA
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
1367500000XCertified Registered Nurse Anesthetist441296TX

General Provider Information

NPI Number : 1841274206
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN LEWIS PATTERSON CRNA
Provider Business Mailing Address
First Line : 394 MARINA DR
Second Line :
City : PORT ARANSAS
State : TX
Zip : 78373-4906
Country : US
Telephone Number : 361-739-9124
Fax Number :
Provider Business Practice Location Address
First Line : 600 ELIZABETH ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78404-2235
Country : US
Telephone Number : 361-881-3657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/08/2007

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