Provider Demographics
NPI:1366198681
Name:ARMSTRONG, PATRICIA
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 E AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TX
Mailing Address - Zip Code:76579-2656
Mailing Address - Country:US
Mailing Address - Phone:254-938-2503
Mailing Address - Fax:
Practice Address - Street 1:808 E AUSTIN STREET
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:TX
Practice Address - Zip Code:76579
Practice Address - Country:US
Practice Address - Phone:254-938-2503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81242164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse