Healthcare Provider Details

I. General information

NPI: 1487563664
Provider Name (Legal Business Name): NIKHIL PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N COIT RD STE 350
RICHARDSON TX
75080-5445
US

IV. Provider business mailing address

7431 E 97TH ST
TULSA OK
74133-6416
US

V. Phone/Fax

Practice location:
  • Phone: 469-620-7264
  • Fax:
Mailing address:
  • Phone: 918-906-8003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number103805
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: