Healthcare Provider Details

I. General information

NPI: 1225376346
Provider Name (Legal Business Name): HENNA PATEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 E ARKANSAS LN SUITE B
ARLINGTON TX
76010-6415
US

IV. Provider business mailing address

PO BOX 153969
IRVING TX
75015-3969
US

V. Phone/Fax

Practice location:
  • Phone: 817-385-9799
  • Fax: 817-385-9881
Mailing address:
  • Phone: 817-385-9799
  • Fax: 817-385-9881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP5298
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberP5298
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: