=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245305192
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DENTON COUNTY MHMR CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2519 SCRIPTURE ST
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-2324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-381-5000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2519 SCRIPTURE ST P.O. BOX 2346
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-2324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-381-5000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | STAFF PSYCHIATRIST
-----------------------------------------------------
Name | DR. JYOTI N PATEL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 940-381-5000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | G1744
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------