Provider Demographics
NPI:1548079387
Name:PATCHES WEST LLC
Entity type:Organization
Organization Name:PATCHES WEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-314-1406
Mailing Address - Street 1:7830 W GRAND PKWY S STE 150
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5819
Mailing Address - Country:US
Mailing Address - Phone:346-826-0800
Mailing Address - Fax:
Practice Address - Street 1:7830 W GRAND PKWY S STE 150
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5819
Practice Address - Country:US
Practice Address - Phone:346-826-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical