Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 826156 | TX |
NPI | 1013334879 |
---|---|
Provider Name | Sneha Patel |
First Address | Dallas, TX 75219-1366 |
Second Address | Dallas, TX 75219-1366 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2014 |
Last Update Date | 18/03/2014 |