Provider Demographics
NPI:1710959382
Name:FREEMAN, PATRICK S (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:S
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 SIERRA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2480
Mailing Address - Country:US
Mailing Address - Phone:972-443-3000
Mailing Address - Fax:972-432-0498
Practice Address - Street 1:6500 SIERRA DR STE 150
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2480
Practice Address - Country:US
Practice Address - Phone:972-443-3000
Practice Address - Fax:972-432-0498
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5939207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182823801Medicaid
TX8214M3Medicare ID - Type Unspecified
TX182823801Medicaid
TX8J0468Medicare PIN