Provider Demographics
NPI:1396891545
Name:CORRIGAN, PATRICIA JUDITH I (DPM)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JUDITH
Last Name:CORRIGAN
Suffix:I
Gender:F
Credentials:DPM
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:JUDITH
Other - Last Name:CORRIGAN-STRICKLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST(RPH)
Mailing Address - Street 1:2318 BOULDER RUN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7543
Mailing Address - Country:US
Mailing Address - Phone:512-863-0991
Mailing Address - Fax:
Practice Address - Street 1:2318 BOULDER RUN
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7543
Practice Address - Country:US
Practice Address - Phone:512-763-1084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX933213E00000X
TX25413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No183500000XPharmacy Service ProvidersPharmacist