Provider Demographics
NPI:1639180532
Name:PATEL, NARENDRA A (MD)
Entity Type:Individual
Prefix:
First Name:NARENDRA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 REMINGTON DR E
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-4003
Mailing Address - Country:US
Mailing Address - Phone:214-450-3288
Mailing Address - Fax:214-722-1231
Practice Address - Street 1:3200 COLORADO BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6874
Practice Address - Country:US
Practice Address - Phone:940-381-0971
Practice Address - Fax:940-387-2563
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXGO507174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD67521Medicare UPIN