Provider Demographics
NPI:1245573211
Name:POMPEY, PATRICE M (PA)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:M
Last Name:POMPEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25329 INTERSTATE 45
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3438
Mailing Address - Country:US
Mailing Address - Phone:281-533-5333
Mailing Address - Fax:281-533-5335
Practice Address - Street 1:25329 INTERSTATE 45
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3438
Practice Address - Country:US
Practice Address - Phone:281-533-5333
Practice Address - Fax:281-533-5335
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant