Provider Demographics
NPI:1033434410
Name:CAREY, PATRICIA E (LAC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:CAREY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:6309 LOST VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3869
Mailing Address - Country:US
Mailing Address - Phone:972-704-3730
Mailing Address - Fax:
Practice Address - Street 1:2121 W SPRING CREEK PKWY
Practice Address - Street 2:STE 107
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4100
Practice Address - Country:US
Practice Address - Phone:972-704-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00812171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist