Healthcare Provider Details

I. General information

NPI: 1760476964
Provider Name (Legal Business Name): SUNIL S. PATEL MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5441 HEALTH CENTER DRIVE
ABILENE TX
79606
US

IV. Provider business mailing address

5441 HEALTH CENTER DRIVE
ABILENE TX
79606-6884
US

V. Phone/Fax

Practice location:
  • Phone: 325-673-9806
  • Fax: 325-673-9809
Mailing address:
  • Phone: 325-673-9806
  • Fax: 325-673-9809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberK4185
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberK4185
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: