Healthcare Provider Details

I. General information

NPI: 1700806668
Provider Name (Legal Business Name): ANAND C PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3323 COLORADO BLVD STE 105
DENTON TX
76210-6895
US

IV. Provider business mailing address

800 8TH AVE STE 306
FORT WORTH TX
76104-2602
US

V. Phone/Fax

Practice location:
  • Phone: 682-224-3748
  • Fax: 682-224-3748
Mailing address:
  • Phone: 682-224-3748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01060533A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD-19723
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberU9625
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: