MEDICARE: PARTHI BAKUL PATEL MA

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	101YM0800X	Mental Health Counselor	78799	TX

General Provider Information

NPI Number	:	1245863604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARTHI BAKUL PATEL MA

Provider Business Mailing Address
First Line	:	1131 QUEENSDOWN WAY
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-3579
Country	:	US
Telephone Number	:	772-240-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	1131 QUEENSDOWN WAY
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-3579
Country	:	US
Telephone Number	:	210-816-1488
Fax Number	:

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

Provider Enumeration Date	:	02/13/2020
Last Update Date	:	03/19/2024

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Directions to “ PARTHI BAKUL PATEL MA” Practice Location

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