Provider Demographics
NPI:1568637718
Name:HEMA PATEL MD, PA
Entity Type:Organization
Organization Name:HEMA PATEL MD, PA
Other - Org Name:KATY MEDICAL & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-498-1395
Mailing Address - Street 1:701 S FRY RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2255
Mailing Address - Country:US
Mailing Address - Phone:281-492-1900
Mailing Address - Fax:281-492-1060
Practice Address - Street 1:701 S FRY RD
Practice Address - Street 2:SUITE 205
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2255
Practice Address - Country:US
Practice Address - Phone:281-492-1900
Practice Address - Fax:281-492-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5086207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00702UOtherMEDICARE GROUP NUMBER
TX155201002Medicaid
TX00702UOtherMEDICARE GROUP NUMBER