Provider Demographics
NPI:1114331691
Name:PATEL, NIMISHA (OD)
Entity Type:Individual
Prefix:DR
First Name:NIMISHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6035 AIRLINE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4224
Mailing Address - Country:US
Mailing Address - Phone:281-849-4844
Mailing Address - Fax:281-849-4866
Practice Address - Street 1:6035 AIRLINE DR STE 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4224
Practice Address - Country:US
Practice Address - Phone:281-849-4844
Practice Address - Fax:281-849-4866
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8479TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist