MEDICARE: DIPTI PATEL D.C.

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	111N00000X	Chiropractor	DC9326	TX

General Provider Information

NPI Number	:	1154525301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIPTI PATEL D.C.

Provider Business Mailing Address
First Line	:	616 MEMORIAL HTS APT 11317
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-6079
Country	:	US
Telephone Number	:	832-605-3957
Fax Number	:

Provider Business Practice Location Address
First Line	:	6660 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-3512
Country	:	US
Telephone Number	:	713-697-8000
Fax Number	:	713-697-7111

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

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	07/08/2007

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Directions to “ DIPTI PATEL D.C.” Practice Location

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