Provider Demographics
NPI:1003822339
Name:QUIROZ, PATRICIA D (RN BSN CNOR RNFA)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:D
Last Name:QUIROZ
Suffix:
Gender:F
Credentials:RN BSN CNOR RNFA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:D
Other - Last Name:RIDDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN CNOR RNFA
Mailing Address - Street 1:4720 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703
Mailing Address - Country:US
Mailing Address - Phone:903-592-4549
Mailing Address - Fax:903-525-1271
Practice Address - Street 1:800 E DAWSON
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2036
Practice Address - Country:US
Practice Address - Phone:903-531-4522
Practice Address - Fax:903-525-1271
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX597415163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse