Provider Demographics
NPI:1962495127
Name:PATTERSON, PATRICE A (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:A
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 AIR PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-3000
Mailing Address - Country:US
Mailing Address - Phone:903-455-5834
Mailing Address - Fax:903-408-5693
Practice Address - Street 1:5101 WELLINGTON ST UNIT C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6040
Practice Address - Country:US
Practice Address - Phone:903-455-3261
Practice Address - Fax:903-455-0211
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4770208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics