Provider Demographics
NPI:1114660024
Name:PATRICIA MCADAMS MD PA
Entity type:Organization
Organization Name:PATRICIA MCADAMS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-699-3141
Mailing Address - Street 1:240 RUSTIC PINES DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-8823
Mailing Address - Country:US
Mailing Address - Phone:281-433-8546
Mailing Address - Fax:
Practice Address - Street 1:121 GASLIGHT MEDICAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3154
Practice Address - Country:US
Practice Address - Phone:936-699-3141
Practice Address - Fax:936-699-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty