Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | N9763 | TX |
NPI | 1760661276 |
---|---|
Provider Name | Dr. Sundip Harishchandra Patel |
First Address | Coppell, TX 75019-2169 |
Second Address | Coppell, TX 75019-2169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2007 |
Last Update Date | 14/06/2013 |