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NPI Code Detail

MEDICARE: GOPESH PATEL

MEDICARE: GOPESH 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
1183500000XPharmacist41722TX

General Provider Information

NPI Number : 1699057349
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOPESH PATEL
Provider Business Mailing Address
First Line : 2602 FORT WORTH AVE
Second Line :
City : DALLAS
State : TX
Zip : 75211-1746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2602 FORT WORTH AVE
Second Line :
City : DALLAS
State : TX
Zip : 75211-1746
Country : US
Telephone Number : 214-941-0926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2011
Last Update Date : 09/19/2011

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Directions to “ GOPESH PATEL ” Practice Location

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