Search › Tennessee › 207Q00000X
Patchouco Theodore, MD
NPI 1528628963 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1924 Alcoa Hwy # U-67
Knoxville, TN 37920 - Phone
- (865) 305-9350
- Fax
- (865) 305-8942
- Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- TN, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-10
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 Tennessee