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NPI Code Detail

MEDICARE: JENNIFER LEIGH PATEL PA-C

MEDICARE: JENNIFER LEIGH PATEL PA-C
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 AssistantPA09095TX

General Provider Information

NPI Number : 1619393774
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEIGH PATEL PA-C
Provider Business Mailing Address
First Line : PO BOX 650823
Second Line : DEPT #41555
City : DALLAS
State : TX
Zip : 75265-0823
Country : US
Telephone Number : 800-684-1627
Fax Number : 405-844-1794
Provider Business Practice Location Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-3431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2014
Last Update Date : 04/07/2026

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Directions to “ JENNIFER LEIGH PATEL PA-C” Practice Location

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