Patti J Licona (NPI# 1730296468, PAC ID# 5991710600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1730296468 |
| PAC ID by PECOS | 5991710600 |
| Professional Enrollment ID | I20060217000114 |
| Full Name | Patti J Licona |
| Address |
95 Bayshore Dr Ingleside TX 78362-4828 |
| Phone Number | 3617750270 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 95 Bayshore Dr, Ingleside, TX 78362-4828 | 3617750270 |
| Street Address |
95 BAYSHORE DR |
| City | INGLESIDE |
| State | TX |
| Zip | 78362-4828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duwayne P Edge | Family Medicine | 2605 Amarillo St, Ingleside, TX 78362-5762 | |
| Candice Nicole Miller | Nurse Practitioner | Wellmed Medical Group Pa | 2713 Main St, Ingleside, TX 78362-5910 |
| Norman T Crabb Ii | Family Medicine | Wellmed Medical Group Pa | 2713 Main St, Ingleside, TX 78362-5910 |
| Lena L Rippstein | Nurse Practitioner | Wellmed Medical Group, P.a. | 2713 Main St, Ingleside, TX 78362-5910 |
| City | INGLESIDE |
| Zip Code | 78362 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | INGLESIDE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Patti J Licona.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.