Provider Demographics
NPI:1417249061
Name:NORTH TEXAS ARTHRITIS CENTER, PA
Entity Type:Organization
Organization Name:NORTH TEXAS ARTHRITIS CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:KESHAV
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-233-0410
Mailing Address - Street 1:PO BOX 471163
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76147-1163
Mailing Address - Country:US
Mailing Address - Phone:682-233-0410
Mailing Address - Fax:888-779-1098
Practice Address - Street 1:9116 FOX HOLLOW TRL
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4489
Practice Address - Country:US
Practice Address - Phone:682-233-0410
Practice Address - Fax:888-779-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7859207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty