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General NPI Number Information
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NPI Number | 1174020150
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Entity Type | Individual
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Provider Name | JAY K PATOLIA MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 05/03/2026
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Provider Practice Location Address
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Address Line | 10330 HIGHWAY 6 STE J
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4741
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Country | US
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Telephone | 281-256-7182
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Fax | 281-605-6815
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Provider Business Mailing Address
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Address Line | 6550 MAPLERIDGE ST STE 115
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City | HOUSTON
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State | TX
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Zip | 77081-4629
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Country | US
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Telephone | 281-701-5457
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Fax | 281-605-6815
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | T9211
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License Number State | TX
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