DR. DALLAS JUSTIN PATTERSON (NPI# 1083912323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083912323 |
| Entity Type | Individual |
| Full Name | DR. DALLAS JUSTIN PATTERSON |
| Credential | D.P.M. |
| Practice Address |
423 Treeline Park Suite #315 San Antonio TX 78209-2060 |
| Practice Telephone | 2106149610 |
| Practice Fax Number | 2106149613 |
| Mailing Telephone | 2106149610 |
| Mailing Fax Number | 2106149613 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1998 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
423 TREELINE PARK SUITE #315 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503092 | Suresh Koneru | Plastic Surgery | 423 Treeline Park, Suite 300, San Antonio, TX 78209-2060 | 2005-07-29 |
| 1588031777 | Lydia Ann Trejo | Nurse Practitioner | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2015-08-24 |
| 1326308305 | Jerry W. Patterson, D.p.m, P.a. | Podiatrist | 423 Treeline Park, Suite 315, San Antonio, TX 78209-2060 | 2012-05-23 |
| 1700049400 | Concord Imaging At The Quarry, Pa | Radiology | 423 Treeline Park, Suite 100, San Antonio, TX 78209-1997 | 2008-07-03 |
| 1407013691 | Shaun Chadrick Jackson | Physical Medicine & Rehabilitation | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2008-05-16 |
| 1629271705 | Imaging Partners of San Antonio, Lllp | Radiology | 423 Treeline Park, Suite 101, San Antonio, TX 78209-1997 | 2007-06-07 |
| 1891907424 | Advanced Concpets In Plastic Surgery Pa | Specialist | 423 Treeline Park, Suite 300, San Antonio, TX 78209 | 2007-05-04 |
| 1912059262 | Oakdell Pharmacy LLC | Pharmacy | 423 Treeline Park, Ste 201, San Antonio, TX 78209-2060 | 2007-01-17 |
| 1962428268 | Christus Santa Rosa Pasc-san Antonio LLC | Clinic/Center | 423 Treeline Park, Suite 202, San Antonio, TX 78209-1997 | 2006-07-14 |
| 1215968235 | Consultants In Pain Medicine, P.a. | Pain Medicine | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446642 | South Alamo Foot & Ankle Pllc | Podiatrist | 102 Palo Alto Rd Ste 133, San Antonio, TX 78211-3792 | 2018-05-03 |
| 1467803064 | Preston John Panicco | Podiatrist | 14615 San Pedro Ave Ste 160, San Antonio, TX 78232-4364 | 2016-06-24 |
| 1114367968 | Elaine Danial | Podiatrist | 4334 N Loop 1604 W Ste 102, San Antonio, TX 78249-3485 | 2013-06-26 |
| 1467772863 | Ruben Jordan Mechell | Podiatrist | 3303 Rogers Rd Ste 230, San Antonio, TX 78251 | 2010-06-08 |
| 1639336746 | Russell Stanley | Podiatrist | 8042 Wurzbach Rd Ste 450, Physicians Plaza II, San Antonio, TX 78229-3808 | 2008-05-18 |
| 1780867754 | Michael R. Langlois | Podiatrist | 701 S Zarzamora St # Sr, San Antonio, TX 78207-5209 | 2007-12-12 |
| 1467634121 | Sean L. Kersh | Podiatrist | 8603 N Loop 1604 W, Apartment #8106, San Antonio, TX 78249-2601 | 2007-12-04 |
| 1720268741 | Moffatt David Adams Jr. | Podiatrist | 18585 Sigma Rd Ste 104, San Antonio, TX 78258 | 2007-11-07 |
| 1609075902 | Eddie Davis | Podiatrist | 109 Gallery Cir Ste 119, Suite 119, San Antonio, TX 78258-3328 | 2007-07-16 |
| 1528117140 | Walter William Strash | Podiatrist | 7424 Broadway St, San Antonio, TX 78209-3254 | 2007-01-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on DR. DALLAS JUSTIN PATTERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.