Provider Demographics
NPI:1356858096
Name:GIMLER, PATRICIA CONNER (LM, CPM)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CONNER
Last Name:GIMLER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 E RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4815
Mailing Address - Country:US
Mailing Address - Phone:915-308-5000
Mailing Address - Fax:915-603-4411
Practice Address - Street 1:1312 E RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4815
Practice Address - Country:US
Practice Address - Phone:915-308-5000
Practice Address - Fax:915-603-4411
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96118176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife