Provider Demographics
NPI:1699562777
Name:PATTON, STANLEY N (RN)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:N
Last Name:PATTON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21222 WINDING PATH WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3690
Mailing Address - Country:US
Mailing Address - Phone:832-282-7704
Mailing Address - Fax:
Practice Address - Street 1:8124 BANKER ST
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-8045
Practice Address - Country:US
Practice Address - Phone:832-282-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX696921163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse