MEDICARE: DR. RAJ PATEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	W1871	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1265134027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJ PATEL MD

Provider Business Mailing Address
First Line	:	24223 VIENTO LEAF
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-4342
Country	:	US
Telephone Number	:	210-800-4388
Fax Number	:

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4412
Country	:	US
Telephone Number	:	281-348-3359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	05/21/2026

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