Provider Demographics
NPI:1275706830
Name:ADDO, PATRICK GYAMFI (PA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:GYAMFI
Last Name:ADDO
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1380 RIVER BEND DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4914
Mailing Address - Country:US
Mailing Address - Phone:214-743-6159
Mailing Address - Fax:214-689-6482
Practice Address - Street 1:1350 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1654
Practice Address - Country:US
Practice Address - Phone:214-689-5140
Practice Address - Fax:214-630-3625
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2012-07-19
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Provider Licenses
StateLicense IDTaxonomies
TXPA06202363A00000X
CAPA19649363A00000X
PAMA053771363A00000X
AZ4362363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant