Provider Demographics
NPI:1649583345
Name:PATEL, PARESH (PJ) (PHARMD)
Entity Type:Individual
Prefix:
First Name:PARESH (PJ)
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 WURZBACH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2212
Mailing Address - Country:US
Mailing Address - Phone:210-696-1073
Mailing Address - Fax:210-696-1362
Practice Address - Street 1:9900 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2212
Practice Address - Country:US
Practice Address - Phone:210-696-1073
Practice Address - Fax:210-696-1362
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist