Provider Demographics
NPI:1164489928
Name:PATEL, SHERMIN (APRN, FNP-C, ATC,LAT)
Entity Type:Individual
Prefix:MRS
First Name:SHERMIN
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN, FNP-C, ATC,LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 WING POINT LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2512
Mailing Address - Country:US
Mailing Address - Phone:214-803-0231
Mailing Address - Fax:
Practice Address - Street 1:6901 SNIDER PLZ
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5648
Practice Address - Country:US
Practice Address - Phone:214-696-8033
Practice Address - Fax:214-361-2552
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX829958163W00000X
TXAT2648171W00000X, 2255A2300X
TX1003352363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No171W00000XOther Service ProvidersContractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer