Provider Demographics
NPI:1518982834
Name:PATEL, PARUL K (DPM)
Entity Type:Individual
Prefix:
First Name:PARUL
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1801 N HAMPTON RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2391
Mailing Address - Country:US
Mailing Address - Phone:972-274-5708
Mailing Address - Fax:972-274-1471
Practice Address - Street 1:1801 N HAMPTON RD
Practice Address - Street 2:SUITE 340
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2391
Practice Address - Country:US
Practice Address - Phone:972-274-5708
Practice Address - Fax:972-274-1471
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1652213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F24097Medicare PIN
TXU96205Medicare UPIN