Provider Demographics
NPI:1265878045
Name:PATTISON, RACHAEL LEA (DO)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:LEA
Last Name:PATTISON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 HONEYSUCKLE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5554
Mailing Address - Country:US
Mailing Address - Phone:405-221-1515
Mailing Address - Fax:
Practice Address - Street 1:7921 HONEYSUCKLE
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5554
Practice Address - Country:US
Practice Address - Phone:405-221-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10047210207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine