Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | P7832 | TX |
NPI | 1023219623 |
---|---|
Provider Name | Shitel Dineshbhai Patel |
First Address | Webster, TX 77598-1636 |
Second Address | Webster, TX 77598-1636 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 16/03/2021 |