Provider Demographics
NPI:1508549098
Name:PATEL, HUZAIFA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:HUZAIFA
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:HUZAIFA
Other - Middle Name:A
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:811 W SLAUGHTER LN APT 2205
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6754
Mailing Address - Country:US
Mailing Address - Phone:228-861-8880
Mailing Address - Fax:
Practice Address - Street 1:1340 WONDER WORLD DR STE 2100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7694
Practice Address - Country:US
Practice Address - Phone:512-753-3539
Practice Address - Fax:512-753-3541
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13675242251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic