Healthcare Provider Details

I. General information

NPI: 1831886498
Provider Name (Legal Business Name): SAI PRIYA PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7951 SHOAL CREEK BLVD STE 200
AUSTIN TX
78757-7581
US

IV. Provider business mailing address

PO BOX 10597
AUSTIN TX
78766-1597
US

V. Phone/Fax

Practice location:
  • Phone: 512-454-4588
  • Fax: 512-459-9869
Mailing address:
  • Phone: 512-420-0186
  • Fax: 903-200-5107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17863
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: