Tarak J Patel
Pediatrician Pediatric Pulmonologist
4114 Pond Hill Road Suite 101
San Antonio
, Texas 78231
Tarak J Patel
Pediatrician Pediatric Pulmonologist
4114 Pond Hill Road Suite 101
San Antonio
, Texas 78231
(210) 494-2209
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About
Features
Specialties
- Pediatrician
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Tarak J Patel
- 4114 Pond Hill Road Suite 101
- San Antonio, TX
- Zip : 78231
- Fax : (210) 494-2209
- Phone : (210) 249-5020
Second Address
- Tarak J Patel
- 4114 Pond Hill Road Suite 101
- San Antonio, TX
- Zip : 78231
- Fax : (210) 494-2209
- Phone : (210) 249-5020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | K5652 | TX |
| Y | 2080P0214X | Pediatric Pulmonologist | K5652 | TX |
National Provider Identifier
| NPI | 1013954221 |
|---|---|
| Provider Name | Tarak J Patel |
| First Address | San Antonio, TX 78231 |
| Second Address | San Antonio, TX 78231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 02/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 047712706 | MEDICAID - SAN ANTONIO (01) | TX |
| 047712707 | MEDICAID - HOUSTON (01) | TX |
| 8F21480 | MEDICARE- SAN ANTONIO (01) | TX |
| 8F22537 | MEDICARE- HOUSTON (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.