MEDICARE: MS. TEJASVA R PATEL PT

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	225100000X	Physical Therapist	1384797	TX

General Provider Information

NPI Number	:	1386265833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TEJASVA R PATEL PT

Provider Business Mailing Address
First Line	:	4401 N I 35 STE 100
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3432
Country	:	US
Telephone Number	:	940-483-9020
Fax Number	:	940-483-9021

Provider Business Practice Location Address
First Line	:	4401 N I 35 STE 100
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3432
Country	:	US
Telephone Number	:	940-483-9020
Fax Number	:	940-483-9021

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

Provider Enumeration Date	:	05/06/2020
Last Update Date	:	11/13/2023

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Directions to “ MS. TEJASVA R PATEL PT” Practice Location

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