Provider Demographics
NPI:1114443306
Name:PATEL, SONAL NAGIN (LAC)
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:NAGIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 WOODWAY DR STE 136W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1893
Mailing Address - Country:US
Mailing Address - Phone:832-639-0807
Mailing Address - Fax:
Practice Address - Street 1:4801 WOODWAY DR STE 136W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1893
Practice Address - Country:US
Practice Address - Phone:832-639-0807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01869171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0002196OtherACUPUNCTURE - CHINESE MEDICINE