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NPI Code Detail

MEDICARE: PUNIT PATEL D.D.S.

MEDICARE: PUNIT PATEL D.D.S.
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
1122300000XDentist32292TX
21223G0001XGeneral Practice Dentistry32292TX

General Provider Information

NPI Number : 1477091932
Entity Type Code : Individual
Provider Name (Legal Business Name) : PUNIT PATEL D.D.S.
Provider Business Mailing Address
First Line : 9000 TIMBER KNOLL DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-9379
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5792 WEBER RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-3965
Country : US
Telephone Number : 361-853-8998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2017
Last Update Date : 03/20/2018

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