PAUL LYNDON PATRICK (NPI# 1922210996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922210996 |
| Entity Type | Individual |
| Full Name | PAUL LYNDON PATRICK |
| Credential | D.O. |
| Practice Address |
14805 Trinity Blvd Fort Worth TX 76155-2609 |
| Mailing Address |
1105 Quail Valley Ln Unit 115 Arlington TX 76011-2892 |
| Practice Telephone | 8173181700 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G9186 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255449377 | Paul A. Patrick | Emergency Medicine | 1555 Long Pond Rd, Emergency Center, Rochester, NY 14626-4122 | 2006-08-28 |
| Street Address |
14805 TRINITY BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76155-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659561660 | John G Steele | Orthopaedic Surgery | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-07-26 |
| 1518179423 | Jerry Bane | Surgery | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-05-04 |
| 1730391707 | Prafull Bole | Surgery | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757815 | Varsha Patel | Pharmacist | 15001 Trinity Boulevard, Fort Worth, TX 76155 | 2013-05-20 |
| 1922194588 | Rebecca Lyn Snell | Physical Therapist | 4255 Amon Carter Blvd., Fort Worth, TX 76155 | 2006-10-04 |
| 1932110525 | Medpro Pharmacy LLC | Pharmacy | 4200 Buckingham Road, Suite 105b, Fort Worth, TX 76155 | 2006-08-10 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| 1568491553 | Omnicare Pharmacy of Texas No 1 Lp | Pharmacy | 14450 Trinity Blvd, Suite 200, Ft Worth, TX 76155-2549 | 2006-07-02 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1104131507 | Merlie Tameika Anderson | Speech-Language Pathologist | 4300 Dulles Dr, 13307, Fort Worth, TX 76155-2575 | 2010-08-10 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1225233422 | Thomas Neal Bettes | Family Medicine | 4255 Amon Carter Blvd, American Airlines Medical Dept., Fort Worth, TX 76155-2603 | 2007-06-18 |
| Find all providers in zip 76155 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147912 | Earnest A Porter | General Practice | 6324 Glenwick Dr, Fort Worth, TX 76123-1565 | 2020-06-07 |
| 1386200889 | Wholelife Authentic Care Provider Network | General Practice | 1000 Bonnie Brae Ave Ste 120, Fort Worth, TX 76111-4301 | 2019-05-10 |
| 1336681170 | Dynamic Rpa Healthcare Pa | General Practice | 3750 S University Dr Ste 275, Fort Worth, TX 76109-3795 | 2016-11-10 |
| 1588906218 | Susan Moses Shropshire | General Practice | 4812 Camp Bowie Blvd, Suite B, Fort Worth, TX 76107-4121 | 2013-03-20 |
| 1376817932 | Gordon Patterson Sharratt | General Practice | 3605 Roberts Cut Off Rd, Fort Worth, TX 76114-1039 | 2012-02-29 |
| 1063785665 | Linda Atlas Reese | General Practice | 1001 N Rhea Dr, Fort Worth, TX 76108-3565 | 2012-02-14 |
| 1962711036 | Larry Edwin Bradley | General Practice | 7016 Riverport Rd, Fort Worth, TX 76116-9311 | 2010-10-06 |
| 1477607240 | H Pena Md North Main Medical and Surgical Clinic Assoc | General Practice | 3301 North Main Street, Fort Worth, TX 76106 | 2007-01-22 |
| 1518030071 | Barbara Anne Fannin | General Practice | 4101 Marys Creek Dr, Fort Worth, TX 76116 | 2006-11-15 |
| 1083799209 | Chironet, L.L.C. | General Practice | 3149 Lackland Rd, #104, Fort Worth, TX 76116-4109 | 2006-10-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76155 |
Please comment or provide details below to improve the information on PAUL LYNDON PATRICK.
| 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.