Provider Demographics
NPI:1205336716
Name:PATTERSON, CHESTER ANDREW II (RN)
Entity type:Individual
Prefix:MR
First Name:CHESTER
Middle Name:ANDREW
Last Name:PATTERSON
Suffix:II
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:CHET
Other - Middle Name:ANDREW
Other - Last Name:PATTERSON
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:4212 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-1060
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4212 MULBERRY DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-1060
Practice Address - Country:US
Practice Address - Phone:806-786-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX877014163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse