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General NPI Number Information
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NPI Number | 1811336548
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Entity Type | Individual
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Provider Name | BIMAL JAYPRAKASH PATEL O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2013
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 515 WESTHEIMER RD STE A-2
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City | HOUSTON
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State | TX
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Zip | 77006-2931
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Country | US
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Telephone | 713-485-6033
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Fax | 713-497-5721
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Provider Business Mailing Address
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Address Line | 1403 ELGIN ST
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City | HOUSTON
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State | TX
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Zip | 77004-2832
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Country | US
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Telephone | 832-715-0974
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8171-T
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License Number State | TX
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