Healthcare Provider Details

I. General information

NPI: 1891285060
Provider Name (Legal Business Name): YASHVI J PATEL MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 05/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3519 TOWN CENTER BLVD S STE B
SUGAR LAND TX
77479-1001
US

IV. Provider business mailing address

5807 BALDWIN ELM ST
RICHMOND TX
77407-7094
US

V. Phone/Fax

Practice location:
  • Phone: 832-730-7246
  • Fax:
Mailing address:
  • Phone: 832-298-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP136620
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: