Provider Demographics
NPI:1245219914
Name:PATEL, JATIN N (DO)
Entity Type:Individual
Prefix:
First Name:JATIN
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HUNTERS VLG STE 105
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-5250
Mailing Address - Country:US
Mailing Address - Phone:210-314-7656
Mailing Address - Fax:210-568-4819
Practice Address - Street 1:212 HUNTERS VLG STE 105
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132
Practice Address - Country:US
Practice Address - Phone:830-387-4744
Practice Address - Fax:210-568-4819
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL25342080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176576001Medicaid
TX00609XMedicare UPIN
TX8K0631Medicare PIN