Provider Demographics
NPI:1700152089
Name:ARNETT, PAT LEE (CPNP)
Entity Type:Individual
Prefix:
First Name:PAT
Middle Name:LEE
Last Name:ARNETT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 UPTOWN BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3537
Mailing Address - Country:US
Mailing Address - Phone:972-293-6300
Mailing Address - Fax:972-293-6301
Practice Address - Street 1:294 UPTOWN BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3537
Practice Address - Country:US
Practice Address - Phone:972-293-6300
Practice Address - Fax:972-293-6301
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666459363LP0200X
TXAP121504363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX295919901Medicaid