Provider Demographics
NPI:1972790814
Name:PATAKY, CRAIG R (BCO)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:R
Last Name:PATAKY
Suffix:
Gender:M
Credentials:BCO
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Mailing Address - Street 1:4409 MEDICAL PKWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3313
Mailing Address - Country:US
Mailing Address - Phone:512-452-3100
Mailing Address - Fax:512-452-3200
Practice Address - Street 1:4409 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3313
Practice Address - Country:US
Practice Address - Phone:512-452-3100
Practice Address - Fax:512-452-3200
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist