Provider Demographics
NPI:1891919478
Name:PATTEN, DAVID LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:PATTEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3117
Mailing Address - Country:US
Mailing Address - Phone:210-334-3700
Mailing Address - Fax:210-922-0162
Practice Address - Street 1:1614 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6273
Practice Address - Country:US
Practice Address - Phone:830-608-1575
Practice Address - Fax:830-608-0868
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00144363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX218310501Medicaid
TXPA00144OtherTEXAS LICENSE
TXSD133761OtherDPS
TXSD133761OtherDPS
TXSD133761OtherDPS
TXMP1113125OtherDEA
TX86N376Medicare ID - Type Unspecified