MEDICARE: HARSH PATEL DDS,MS

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	1223G0001X	General Practice Dentistry	DL12175	MA
2	1223G0001X	General Practice Dentistry	30882	TX

General Provider Information

NPI Number	:	1093121006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARSH PATEL DDS,MS

Provider Business Mailing Address
First Line	:	9650 WESTHEIMER RD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3251
Country	:	US
Telephone Number	:	713-952-0522
Fax Number	:

Provider Business Practice Location Address
First Line	:	9650 WESTHEIMER RD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3251
Country	:	US
Telephone Number	:	713-952-0522
Fax Number	:

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

Provider Enumeration Date	:	07/10/2014
Last Update Date	:	03/13/2023

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