Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1217853 | TX |
NPI | 1003061219 |
---|---|
Provider Name | Vishal M Patel |
First Address | Houston, TX 77083 |
Second Address | Houston, TX 77083 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 12/08/2015 |