Provider Demographics
NPI:1134848716
Name:GEYMER, PATRICIA EVELYN (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:EVELYN
Last Name:GEYMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 KYNETTE DR APT B
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-4086
Mailing Address - Country:US
Mailing Address - Phone:512-767-2310
Mailing Address - Fax:
Practice Address - Street 1:1704 KYNETTE DR APT B
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-4086
Practice Address - Country:US
Practice Address - Phone:512-767-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1037462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily