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NPI Code Detail

MEDICARE: PRIYANK PATEL

MEDICARE:   PRIYANK  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
1183500000XPharmacist66515TX

General Provider Information

NPI Number : 1265055107
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYANK PATEL
Provider Business Mailing Address
First Line : 1201 WOODHAVEN BLVD STE 1221
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-2377
Country : US
Telephone Number : 817-653-7454
Fax Number :
Provider Business Practice Location Address
First Line : 5317 SUMMER MEADOWS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-1975
Country : US
Telephone Number : 682-429-5259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2020
Last Update Date : 05/27/2020

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Directions to “ PRIYANK PATEL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.