1477543940 NPI number — DR. PATRICIA RUTH HASTINGS DO

Table of content: DR. PATRICIA RUTH HASTINGS DO (NPI 1477543940)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477543940 NPI number — DR. PATRICIA RUTH HASTINGS DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HASTINGS
Provider First Name:
PATRICIA
Provider Middle Name:
RUTH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477543940
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 340161
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT SAM HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78234-0161
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-221-3484
Provider Business Mailing Address Fax Number:
210-221-3821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BROOKE ARMY MEDICAL CENTER; MCHE-QD / CREDENTIALS
Provider Second Line Business Practice Location Address:
3851 ROGER BROOKE DR.
Provider Business Practice Location Address City Name:
FT. SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234-6200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-221-3484
Provider Business Practice Location Address Fax Number:
210-221-3821
Provider Enumeration Date:
10/26/2005

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: 207P00000X , with the licence number:  H7752 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207PE0004X , with the licence number: H7752 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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