1457438558 NPI number — MRS. PATRICIA HIGHTOWER LAMBDEN NP

Table of content: (NPI 1548505522)

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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