MEDICARE: KRISHNA PATEL DO

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	208000000X	Pediatrics Physician	LEX5332	TX

General Provider Information

NPI Number	:	1982344008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISHNA PATEL DO

Provider Business Mailing Address
First Line	:	16802 TOMCAT DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3673
Country	:	US
Telephone Number	:	512-758-2460
Fax Number	:

Provider Business Practice Location Address
First Line	:	6431 FANNIN ST # 3.151
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-5800
Fax Number	:

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

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	02/25/2026

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Directions to “ KRISHNA PATEL DO” Practice Location

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