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NPI Code Detail

MEDICARE: DHWANI PATEL

MEDICARE: DHWANI 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
1183500000XPharmacist66031TX

General Provider Information

NPI Number : 1366044349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHWANI PATEL
Provider Business Mailing Address
First Line : 414 N MARATHON WAY
Second Line :
City : STAFFORD
State : TX
Zip : 77477-5815
Country : US
Telephone Number : 832-755-2037
Fax Number :
Provider Business Practice Location Address
First Line : 121 HIGHWAY 332 W
Second Line :
City : LAKE JACKSON
State : TX
Zip : 77566-4028
Country : US
Telephone Number : 979-297-8578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2020
Last Update Date : 11/13/2020

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Directions to “ DHWANI PATEL ” Practice Location

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