Search › Texas › 183500000X
Patti Black
NPI 1487250510 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1114 E Sarah Dewitt Dr
Gonzales, TX 78629 - Phone
- (830) 672-2811
- Fax
- (830) 672-6544
- Organisation at this address
- Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas