Provider Demographics
NPI:1215463484
Name:HEMSTREET, PATRICK (CNIM, REPT, RNCST)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:HEMSTREET
Suffix:
Gender:M
Credentials:CNIM, REPT, RNCST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1114
Mailing Address - Country:US
Mailing Address - Phone:512-801-6043
Mailing Address - Fax:
Practice Address - Street 1:5602 GRAPE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1114
Practice Address - Country:US
Practice Address - Phone:512-801-6043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other