MEDICARE: JAY 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	207N00000X	Dermatology Physician	W2345	TX

General Provider Information

NPI Number	:	1386386845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY PATEL MD

Provider Business Mailing Address
First Line	:	10508 BLANKIET LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1963
Country	:	US
Telephone Number	:	931-787-0690
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 WASHINGTON AVE STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5477
Country	:	US
Telephone Number	:	281-857-6870
Fax Number	:

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

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	03/03/2026

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Directions to “ JAY PATEL MD” Practice Location

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