Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | R3576 | TX |
NPI | 1083807820 |
---|---|
Provider Name | Kavita A Patel |
First Address | Austin, TX 78759-8319 |
Second Address | Austin, TX 78759-8319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2007 |
Last Update Date | 27/09/2019 |