| Doctor Name: | MRS. PATRICIA CORNWELL |
| NPI Number: | 1356674121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA04210 |
| Business Practice Address: | 136 E Hospital Dr Angleton, TX - 775154161 |
| Business Phone Number: | 9798496467 |
| Business Fax Number: | 9798494080 |
| Mailing Address: | 1706 Glen Falls Ln, PEARLAND |
| State: | TX |
| Postal Code: | 775815674 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2009 |
| NPI Last Update Date: | 10/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA04210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |