Provider Demographics
NPI:1235572686
Name:PATEL, PRATIK DILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:PRATIK
Middle Name:DILIP
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21309 FOSTER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4209
Mailing Address - Country:US
Mailing Address - Phone:281-587-1700
Mailing Address - Fax:281-907-6003
Practice Address - Street 1:21309 FOSTER RD
Practice Address - Street 2:STE 100
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:281-587-1700
Practice Address - Fax:281-907-6003
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN54717207Q00000X
TXR2438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine