Provider Demographics
NPI:1851704662
Name:PATTEN, BERNARD MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:MICHAEL
Last Name:PATTEN
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 1:1019 BARONRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-4001
Mailing Address - Country:US
Mailing Address - Phone:713-252-1306
Mailing Address - Fax:
Practice Address - Street 1:1019 BARONRIDGE DR
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-4001
Practice Address - Country:US
Practice Address - Phone:713-252-1306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1700103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis