Provider Demographics
NPI:1407432172
Name:AVAIL LC HOSPITALIST, LLC
Entity Type:Organization
Organization Name:AVAIL LC HOSPITALIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DHARMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-590-0640
Mailing Address - Street 1:9811 KATY FWY STE 1060
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1280
Mailing Address - Country:US
Mailing Address - Phone:713-590-0640
Mailing Address - Fax:
Practice Address - Street 1:3730 NELSON RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-2412
Practice Address - Country:US
Practice Address - Phone:337-656-7700
Practice Address - Fax:337-475-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty