Healthcare Provider Details

I. General information

NPI: 1013017912
Provider Name (Legal Business Name): JOLET PATIL AND RIMER PEDIATRICS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 05/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 FM 1826 220
AUSTIN TX
78737-1407
US

IV. Provider business mailing address

7900 FM 1826 220
AUSTIN TX
78737-1407
US

V. Phone/Fax

Practice location:
  • Phone: 512-288-9669
  • Fax: 512-498-0317
Mailing address:
  • Phone: 512-288-9669
  • Fax: 512-498-0317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL2538
License Number StateTX

VIII. Authorized Official

Name: VAISHALEE SANJAY PATIL
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 512-288-9669