MEDICARE: AVANI PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP144291	TX

General Provider Information

NPI Number	:	1083246540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVANI PATEL

Provider Business Mailing Address
First Line	:	6120 E MOCKINGBIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6120 E MOCKINGBIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2601
Country	:	US
Telephone Number	:	214-887-6955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2020
Last Update Date	:	12/08/2025

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Directions to “ AVANI PATEL ” Practice Location

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