Provider Demographics
NPI:1649283615
Name:AVET, PATRICK P (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:P
Last Name:AVET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3301 S ALAMEDA ST
Mailing Address - Street 2:SUITE #403
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1882
Mailing Address - Country:US
Mailing Address - Phone:361-853-7319
Mailing Address - Fax:
Practice Address - Street 1:3301 S ALAMEDA ST
Practice Address - Street 2:SUITE #403
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1882
Practice Address - Country:US
Practice Address - Phone:361-853-7319
Practice Address - Fax:361-853-1641
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK5784207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046436401Medicaid
TX180033585OtherRR MEDICARE
TXG49779Medicare UPIN
TX046436401Medicaid