Doctor Name: | DR. SANJAY P PATEL |
NPI Number: | 1366490492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | L8160 |
Business Practice Address: | 520 E 6th St Odessa, TX - 797614527 |
Business Phone Number: | 4325828600 |
Business Fax Number: | 4322750544 |
Mailing Address: | 3001 E President George Bush Hwy, Ste 250 RICHARDSON |
State: | TX |
Postal Code: | 750823542 |
Phone Number: | 4323321114 |
Fax Number: | 4322750544 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | L8160 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |