Provider Demographics
NPI:1417692013
Name:EKESSA, PATRICIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:EKESSA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12850 WHITTINGTON DR APT 828
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4734
Mailing Address - Country:US
Mailing Address - Phone:713-448-9308
Mailing Address - Fax:
Practice Address - Street 1:2701 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3916
Practice Address - Country:US
Practice Address - Phone:361-578-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49488183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist