Provider Demographics
NPI:1275830309
Name:PATEL, MENKA (DC)
Entity Type:Individual
Prefix:
First Name:MENKA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25130 FLORINA RANCH DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0468
Mailing Address - Country:US
Mailing Address - Phone:832-704-8069
Mailing Address - Fax:
Practice Address - Street 1:5186 BUFFALO SPEEDWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4215
Practice Address - Country:US
Practice Address - Phone:713-490-2225
Practice Address - Fax:713-490-2226
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor