Provider Demographics
NPI:1457360273
Name:CRAIG, PATRICIA BOWDEN (GNP-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BOWDEN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10670 N CENTRAL EXPY STE 120
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2130
Mailing Address - Country:US
Mailing Address - Phone:214-692-8541
Mailing Address - Fax:214-242-1035
Practice Address - Street 1:10670 N CENTRAL EXPY STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2130
Practice Address - Country:US
Practice Address - Phone:214-692-8541
Practice Address - Fax:214-242-1035
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224969363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81N163Medicare ID - Type Unspecified
TXS48858Medicare UPIN