Healthcare Provider Details

I. General information

NPI: 1477475028
Provider Name (Legal Business Name): NIDHI PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 UNICORN LAKE BLVD STE 120
DENTON TX
76210-1544
US

IV. Provider business mailing address

5040 ADDISON CIR FL 4
ADDISON TX
75001-3333
US

V. Phone/Fax

Practice location:
  • Phone: 469-535-6813
  • Fax:
Mailing address:
  • Phone: 855-898-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: