Provider Demographics
NPI:1659035418
Name:PATTEN, IRINA (DACM, LAC)
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:PATTEN
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14031 WHITE OAK GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3934
Mailing Address - Country:US
Mailing Address - Phone:281-686-7801
Mailing Address - Fax:
Practice Address - Street 1:7515 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4500
Practice Address - Country:US
Practice Address - Phone:877-992-2848
Practice Address - Fax:877-992-2849
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist