Healthcare Provider Details

I. General information

NPI: 1548443963
Provider Name (Legal Business Name): JALPA N PATEL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9511 HUFFMEISTER RD STE 100
HOUSTON TX
77095-2865
US

IV. Provider business mailing address

4650 WESTWAY PARK BLVD STE 206
HOUSTON TX
77041-2006
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-2915
  • Fax: 713-461-5307
Mailing address:
  • Phone: 713-461-2915
  • Fax: 713-461-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number04314
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: