Provider Demographics
NPI:1033652177
Name:PATEL, GINGER MITCHAM (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:MITCHAM
Last Name:PATEL
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 TASCOSA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-7448
Mailing Address - Country:US
Mailing Address - Phone:281-620-7271
Mailing Address - Fax:
Practice Address - Street 1:11706 FALLBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3510
Practice Address - Country:US
Practice Address - Phone:832-912-6282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily