Provider Demographics
NPI:1831537323
Name:PATTERSON, SHERYL LYNETTE
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:LYNETTE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831 SWANN LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219-1949
Mailing Address - Country:US
Mailing Address - Phone:210-723-4002
Mailing Address - Fax:
Practice Address - Street 1:4831 SWANN LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219-1949
Practice Address - Country:US
Practice Address - Phone:210-723-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1529396174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist