1457438558 NPI number — MRS. PATRICIA HIGHTOWER LAMBDEN NP

Table of content: MRS. PATRICIA HIGHTOWER LAMBDEN NP (NPI 1457438558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457438558 NPI number — MRS. PATRICIA HIGHTOWER LAMBDEN NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMBDEN
Provider First Name:
PATRICIA
Provider Middle Name:
HIGHTOWER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HIGHTOWER
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
LEIGH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457438558
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 402669
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30384-2669
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-206-4341
Provider Business Mailing Address Fax Number:
512-407-1947

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 W CENTRAL TEXAS EXPY
Provider Second Line Business Practice Location Address:
SUITE 355
Provider Business Practice Location Address City Name:
HARKER HEIGHTS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76548-1899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-526-2085
Provider Business Practice Location Address Fax Number:
254-526-9569
Provider Enumeration Date:
11/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364SA2200X , with the licence number:  AP114433 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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