Provider Demographics
NPI:1376319145
Name:PROTEOCYTE AI (US), INC
Entity Type:Organization
Organization Name:PROTEOCYTE AI (US), INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PARAS
Authorized Official - Middle Name:BHARATKUMAR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-535-5859
Mailing Address - Street 1:4514 COLE AVE STE 930
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4183
Mailing Address - Country:US
Mailing Address - Phone:806-535-5859
Mailing Address - Fax:
Practice Address - Street 1:4514 COLE AVE STE 930
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4183
Practice Address - Country:US
Practice Address - Phone:806-535-5859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty