Provider Demographics
NPI:1285214148
Name:ROONEY, PATRICK (CAA)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:ROONEY
Suffix:
Gender:M
Credentials:CAA
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1255 ELDRIDGE PKWY APT 1136
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2184
Mailing Address - Country:US
Mailing Address - Phone:908-392-4558
Mailing Address - Fax:
Practice Address - Street 1:7600 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1906
Practice Address - Country:US
Practice Address - Phone:713-790-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant