Provider Demographics
NPI:1639734593
Name:PATEL ANESTHESIA AND PAIN SPECIALISTS
Entity Type:Organization
Organization Name:PATEL ANESTHESIA AND PAIN SPECIALISTS
Other - Org Name:SPINE AND PAIN INSTITUTE OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:PRITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:978-328-8686
Mailing Address - Street 1:3503 W WHEATLAND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4410
Mailing Address - Country:US
Mailing Address - Phone:469-313-0040
Mailing Address - Fax:469-313-0041
Practice Address - Street 1:3503 W WHEATLAND RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4410
Practice Address - Country:US
Practice Address - Phone:469-313-0040
Practice Address - Fax:469-313-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty