Provider Demographics
NPI:1467885269
Name:WHITFIELD, PATRICK MICHAEL (RN NP-C)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:MICHAEL
Last Name:WHITFIELD
Suffix:
Gender:M
Credentials:RN NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1813 HAVENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6142
Mailing Address - Country:US
Mailing Address - Phone:469-463-0070
Mailing Address - Fax:
Practice Address - Street 1:5953 DALLAS PKWY STE 200B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8189
Practice Address - Country:US
Practice Address - Phone:972-378-5698
Practice Address - Fax:972-378-2110
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX766298207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine