Healthcare Provider Details

I. General information

NPI: 1326600693
Provider Name (Legal Business Name): DIPEN PATEL MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 W NASA PKWY
WEBSTER TX
77598-5208
US

IV. Provider business mailing address

16516 EL CAMINO REAL # 1048
HOUSTON TX
77062-5723
US

V. Phone/Fax

Practice location:
  • Phone: 832-385-6632
  • Fax:
Mailing address:
  • Phone: 832-385-6632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberW4175
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: