Provider Demographics
NPI:1609396696
Name:PATEL, CHIRAG DASHRATHBHAI (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHIRAG
Middle Name:DASHRATHBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8009 GRAYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3825
Mailing Address - Country:US
Mailing Address - Phone:817-666-5899
Mailing Address - Fax:
Practice Address - Street 1:2030 N STATE HWY 78
Practice Address - Street 2:SUITE 500
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-6043
Practice Address - Country:US
Practice Address - Phone:469-992-9572
Practice Address - Fax:469-969-0103
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP134196OtherTEXAS BOARD OF NURSING ADVANCED PRACTICE REGISTERED NURSE LICENSE NUMBER