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General NPI Number Information
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NPI Number | 1134742075
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Entity Type | Individual
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Provider Name | KEVIN JOEL PALLAPATI MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 525 OAK CENTRE DR STE 320
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3916
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Country | US
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Telephone | 214-619-1910
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Fax | 214-619-1914
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Provider Business Mailing Address
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Address Line | 5375 COIT RD STE 130
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City | FRISCO
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State | TX
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Zip | 75035-4914
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Country | US
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Telephone | 214-619-1910
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Fax | 214-619-1914
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | V0499
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | V0499
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License Number State | TX
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