Healthcare Provider Details

I. General information

NPI: 1144647264
Provider Name (Legal Business Name): RACHNA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4032 MCDERMOTT RD STE 100
PLANO TX
75024
US

IV. Provider business mailing address

4032 MCDERMOTT RD STE 100
PLANO TX
75024-7739
US

V. Phone/Fax

Practice location:
  • Phone: 972-760-9000
  • Fax:
Mailing address:
  • Phone: 972-760-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number01090357A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberR9531
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: