Provider Demographics
NPI:1003996414
Name:OAKLAND, PATRICIA (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:OAKLAND
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6621 FANNIN ST # WT6-006
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-826-6230
Mailing Address - Fax:832-825-6229
Practice Address - Street 1:6621 FANNIN ST # WT6-006
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-826-6230
Practice Address - Fax:832-825-6229
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677176363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147444701Medicaid
86N510Medicare ID - Type Unspecified
TX147444701Medicaid