Provider Demographics
NPI:1942864764
Name:RHODES, PATRICK TYRONE (FNP)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:TYRONE
Last Name:RHODES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23218 SNOWY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-2105
Mailing Address - Country:US
Mailing Address - Phone:832-658-9075
Mailing Address - Fax:
Practice Address - Street 1:13020 DAIRY ASHFORD RD STE 110
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4663
Practice Address - Country:US
Practice Address - Phone:281-323-4547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily