Provider Demographics
NPI:1659837599
Name:PATEL, ANIL R (RPH)
Entity Type:Individual
Prefix:
First Name:ANIL
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 HIGHWAY 6 STE 700
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4932
Mailing Address - Country:US
Mailing Address - Phone:832-944-6112
Mailing Address - Fax:
Practice Address - Street 1:1403 HIGHWAY 6 STE 700
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4932
Practice Address - Country:US
Practice Address - Phone:832-944-6112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker