| John Patterson, MD, PA | |
|
11680 Pebble Hills Blvd Ste 107 El Paso TX 79936-1091 | |
| (915) 219-9434 | |
| (833) 989-2229 |
| Full Name | John Patterson, MD, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 11680 Pebble Hills Blvd Ste 107, El Paso, Texas |
| Authorized Official Name and Position | John Patterson (PRESIDENT) |
| Authorized Official Contact | 9152199434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Patterson, MD, PA 11680 Pebble Hills Blvd Ste 107 El Paso TX 79936-1091 Ph: (915) 262-2039 | John Patterson, MD, PA 11680 Pebble Hills Blvd Ste 107 El Paso TX 79936-1091 Ph: (915) 219-9434 |
| NPI Number | 1851618276 |
|---|---|
| Provider Enumeration Date | 04/24/2010 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 0840482097 |
|---|---|
| Medicare Enrollment ID | O20101007000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851618276 | NPI | - | NPPES |
| 2168007-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | John Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568653269 PECOS PAC ID: 2567508922 Enrollment ID: I20101007000424 |
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