Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | L4630 | TX |
NPI | 1184652604 |
---|---|
Provider Name | Hitesh Raman Patel |
First Address | Pearland, TX 77588-2569 |
Second Address | Houstonn, TX 77074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 10/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H84930 | (02) | |
TXB106989 | (02) | TX |