Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | L2534 | TX |
NPI | 1245219914 |
---|---|
Provider Name | Jatin N Patel |
First Address | New Braunfels, TX 78132-5250 |
Second Address | New Braunfels, TX 78132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00609X | (02) | TX |
176576001 | (05) | TX |