Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | S0053 | TX |
NPI | 1013351923 |
---|---|
Provider Name | Priya Sureddi Patel |
First Address | Allen, TX 75013-5258 |
Second Address | Allen, TX 75013-5258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 27/09/2021 |