Provider Demographics
NPI:1063206464
Name:PATTON, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:PATTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1966 CHINN RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-5104
Mailing Address - Country:US
Mailing Address - Phone:940-600-9787
Mailing Address - Fax:
Practice Address - Street 1:1966 CHINN RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-5104
Practice Address - Country:US
Practice Address - Phone:940-600-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX880499163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty