Provider Demographics
NPI:1710606587
Name:PATTERSON, SANDRA JARRETT
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:JARRETT
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 ANGLERBEND LNDG
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1209
Mailing Address - Country:US
Mailing Address - Phone:832-410-8025
Mailing Address - Fax:
Practice Address - Street 1:6401 STILLMAN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2143
Practice Address - Country:US
Practice Address - Phone:832-410-8025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach