Provider Demographics
NPI:1144272402
Name:PATTON, JAMES A (APRN,BC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:PATTON
Suffix:
Gender:M
Credentials:APRN,BC
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:15050 PASTURA PASS
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4503
Mailing Address - Country:US
Mailing Address - Phone:210-364-6042
Mailing Address - Fax:210-372-0578
Practice Address - Street 1:16620 N US HIGHWAY 281 STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2679
Practice Address - Country:US
Practice Address - Phone:210-309-1405
Practice Address - Fax:210-688-4596
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX668286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161113903Medicaid
TXP98712Medicare UPIN
TX8D3108Medicare ID - Type UnspecifiedMEDICARE TEXAS