Provider Demographics
NPI:1083956940
Name:PATEL, ROSHNI (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:ROSHNI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 SH 276
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-2569
Mailing Address - Country:US
Mailing Address - Phone:972-722-4992
Mailing Address - Fax:972-722-4995
Practice Address - Street 1:1861 SH 276
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-2569
Practice Address - Country:US
Practice Address - Phone:972-722-4992
Practice Address - Fax:972-722-4995
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX768719163WP0200X
TXAP123059363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics