Healthcare Provider Details

I. General information

NPI: 1316219439
Provider Name (Legal Business Name): DARSHANABEN P PATEL B.D.S., M.S.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2012
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17500 EL CAMINO REAL
HOUSTON TX
77058-3032
US

IV. Provider business mailing address

17500 EL CAMINO REAL
HOUSTON TX
77058-3032
US

V. Phone/Fax

Practice location:
  • Phone: 832-284-4484
  • Fax: 832-284-4658
Mailing address:
  • Phone: 832-284-4484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number27374
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: