Most Relevant Information
Provider Data
| NPI Number: | 1003493818 |
| Provider Name: | ANDREA PATTERSON AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 1031770 |
Most Important Dates
| Enumeration Date: | 03/26/2021 |
| Last Updated: | 09/13/2021 |
Provider Practice Location
2401 S 31ST ST
TEMPLE
TX
765080001
Practice Location Phone/Fax
| Phone: | 2547242111 |
| Fax: |
Provider Mailing Location
PO BOX 844658
DALLAS
TX
752841132
Provider Mailing Phone/Fax
| Phone: | 8009940371 |
| Fax: |