Provider Demographics
NPI:1831370055
Name:PATTERSON, CARRIE KIM (MD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:KIM
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARRIE
Other - Middle Name:HYO MIN
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5757 WARREN PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4274
Mailing Address - Country:US
Mailing Address - Phone:214-824-2547
Mailing Address - Fax:214-618-8038
Practice Address - Street 1:5757 WARREN PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4274
Practice Address - Country:US
Practice Address - Phone:214-824-2547
Practice Address - Fax:214-618-8038
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94168207V00000X
TXN0888207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology