Provider Demographics
NPI:1760412134
Name:PATRONA HOSPITALIST GROUP, P.A.
Entity Type:Organization
Organization Name:PATRONA HOSPITALIST GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:940-627-5921
Mailing Address - Street 1:1710 HWY 51 S
Mailing Address - Street 2:128
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234
Mailing Address - Country:US
Mailing Address - Phone:940-627-5921
Mailing Address - Fax:940-626-1782
Practice Address - Street 1:2000 S FM 51
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234
Practice Address - Country:US
Practice Address - Phone:940-627-5921
Practice Address - Fax:940-626-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty