Provider Demographics
NPI:1285813980
Name:PATEL, SANDEEP (DC)
Entity Type:Individual
Prefix:DR
First Name:SANDEEP
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3500
Mailing Address - Country:US
Mailing Address - Phone:713-864-9494
Mailing Address - Fax:713-864-9499
Practice Address - Street 1:724 W 19TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3500
Practice Address - Country:US
Practice Address - Phone:713-864-9494
Practice Address - Fax:713-864-9499
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6319111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor