Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 27734 | TX |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 27734 | TX |
NPI | 1083988729 |
---|---|
Provider Name | Dr. Paras Bharatkumar Patel |
First Address | Dallas, TX 75218 |
Second Address | Dallas, TX 75218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2012 |
Last Update Date | 08/03/2018 |