Provider Demographics
NPI:1164452082
Name:PATEL, ARUN D (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:D
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 76TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1118
Mailing Address - Country:US
Mailing Address - Phone:806-766-0310
Mailing Address - Fax:806-766-0250
Practice Address - Street 1:1950 ASPEN AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79404-1211
Practice Address - Country:US
Practice Address - Phone:806-766-0310
Practice Address - Fax:806-766-0250
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ49592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035047201Medicaid
TX00N58EMedicare ID - Type Unspecified