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NPI Code Detail

MEDICARE: JALPA N PATEL PA

MEDICARE: JALPA N PATEL PA
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
1363A00000XPhysician Assistant04314TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548443963
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALPA N PATEL PA
Provider Business Mailing Address
First Line : 4650 WESTWAY PARK BLVD STE 206
Second Line :
City : HOUSTON
State : TX
Zip : 77041-2006
Country : US
Telephone Number : 713-461-2915
Fax Number : 713-461-5307
Provider Business Practice Location Address
First Line : 9511 HUFFMEISTER RD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2865
Country : US
Telephone Number : 713-461-2915
Fax Number : 713-461-5307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2007
Last Update Date : 09/26/2022

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Directions to “ JALPA N PATEL PA” Practice Location

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