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NPI Code Detail

MEDICARE: JIGNYASHA S PATEL P.T.

MEDICARE:   JIGNYASHA S PATEL  P.T.
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
1225100000XPhysical TherapistPT32778CA
2225100000XPhysical Therapist1168725TX

General Provider Information

NPI Number : 1558412460
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIGNYASHA S PATEL P.T.
Provider Business Mailing Address
First Line : 1313 ROMERO DR
Second Line :
City : PEARLAND
State : TX
Zip : 77581-5264
Country : US
Telephone Number : 310-795-3777
Fax Number :
Provider Business Practice Location Address
First Line : 5373 W ALABAMA ST STE 204
Second Line :
City : HOUSTON
State : TX
Zip : 77056-5923
Country : US
Telephone Number : 310-795-3777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 02/22/2021

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Directions to “ JIGNYASHA S PATEL P.T.” Practice Location

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