| J. Gabrielle P. Patterson M.d., P.a. | |
|
403 W Campbell Rd Ste 410 Richardson TX 75080-3466 | |
| (972) 498-8670 | |
| (972) 498-8676 |
| Full Name | J. Gabrielle P. Patterson M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 403 W Campbell Rd Ste 410, Richardson, Texas |
| Authorized Official Name and Position | Jennifer Gabrielle Patterson (OWNER/MD) |
| Authorized Official Contact | 9724988670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Gabrielle P. Patterson M.d., P.a. 403 W Campbell Rd Ste 410 Richardson TX 75080-3466 Ph: (972) 498-8670 | J. Gabrielle P. Patterson M.d., P.a. 403 W Campbell Rd Ste 410 Richardson TX 75080-3466 Ph: (972) 498-8670 |
| NPI Number | 1801170816 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 10/10/2011 |
| Medicare PECOS PAC ID | 0749447597 |
|---|---|
| Medicare Enrollment ID | O20120206000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801170816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K5653 (Texas) | Primary |
| Provider Name | Jennifer G Pohlmann-patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221510 PECOS PAC ID: 4183883390 Enrollment ID: I20120307000768 |
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