Provider Demographics
NPI:1336806983
Name:PATEK, DEANNA (RN, BSB, BSN)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:
Last Name:PATEK
Suffix:
Gender:F
Credentials:RN, BSB, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7622 LOUIS PASTEUR DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4019
Mailing Address - Country:US
Mailing Address - Phone:210-610-3859
Mailing Address - Fax:210-641-2277
Practice Address - Street 1:7622 LOUIS PASTEUR DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4037
Practice Address - Country:US
Practice Address - Phone:210-610-3859
Practice Address - Fax:210-641-2277
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057918363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology