Healthcare Provider Details

I. General information

NPI: 1154863736
Provider Name (Legal Business Name): ACUTE INPATIENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 HOSPITAL BLVD
GRAND PRAIRIE TX
75051-1017
US

IV. Provider business mailing address

5080 SPECTRUM DR STE 1000E
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 469-999-0000
  • Fax:
Mailing address:
  • Phone: 832-230-5906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAVI PATEL
Title or Position: OWNER
Credential: MD
Phone: 917-213-7366