Provider Demographics
NPI:1659488633
Name:CAIN, PATIENCE TAYLOR (FNP)
Entity Type:Individual
Prefix:
First Name:PATIENCE
Middle Name:TAYLOR
Last Name:CAIN
Suffix:
Gender:F
Credentials:FNP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR # MC7842
Mailing Address - Street 2:UTHSCSA, DEPT. OF SURGERY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-5730
Mailing Address - Fax:210-567-5797
Practice Address - Street 1:7703 FLOYD CURL DR # MC7842
Practice Address - Street 2:UTHSCSA, DEPT. OF SURGERY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-5730
Practice Address - Fax:210-567-5797
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX581735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX66769OtherCIDC
TX041454203Medicaid
TX66769OtherCIDC