MEDICARE: PRAGNA PATEL

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	363A00000X	Physician Assistant	PA03916	TX

General Provider Information

NPI Number	:	1699046185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAGNA PATEL

Provider Business Mailing Address
First Line	:	6011 SANDIA LAKE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-6162
Country	:	US
Telephone Number	:	713-983-6426
Fax Number	:

Provider Business Practice Location Address
First Line	:	6011 SANDIA LAKE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-6162
Country	:	US
Telephone Number	:	713-983-6426
Fax Number	:

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

Provider Enumeration Date	:	01/16/2012
Last Update Date	:	03/08/2022

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Directions to “ PRAGNA PATEL ” Practice Location

Language	Start Address	Practice Location

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