Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | K5176 | TX |
NPI | 1013912807 |
---|---|
Provider Name | Muhammad Patel |
First Address | Dallas, TX 75219-4236 |
Second Address | Dallas, TX 75219-4236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 04/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H19915 | (02) | TX |