MEDICARE: SAGAR 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	183500000X	Pharmacist	63209	TX

General Provider Information

NPI Number	:	1164013512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAGAR PATEL

Provider Business Mailing Address
First Line	:	38 EAST AVE
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1611
Country	:	US
Telephone Number	:	979-743-3265
Fax Number	:	979-743-2010

Provider Business Practice Location Address
First Line	:	38 EAST AVE
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1611
Country	:	US
Telephone Number	:	979-743-3265
Fax Number	:	979-743-2010

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

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	07/18/2022

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Directions to “ SAGAR PATEL ” Practice Location

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