Healthcare Provider Details

I. General information

NPI: 1881663151
Provider Name (Legal Business Name): VIBHA VINOD PATEL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 COMMUNICATIONS PKWY BLDG C
PLANO TX
75024-0239
US

IV. Provider business mailing address

4873 VAN ZANDT DR
FORT WORTH TX
76244-6136
US

V. Phone/Fax

Practice location:
  • Phone: 972-324-6555
  • Fax:
Mailing address:
  • Phone: 817-371-7591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK8413
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: