Provider Demographics
NPI:1497909402
Name:PATEL, RINA PRAFUL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RINA
Middle Name:PRAFUL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RINA
Other - Middle Name:PRAFULCHANDRA
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:17634 FM 365 RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77705-9168
Mailing Address - Country:US
Mailing Address - Phone:713-320-6090
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:C/O PHARMACY SERVICES (119)
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist