Provider Demographics
NPI:1669006771
Name:SHRUJA PATEL MDPA
Entity Type:Organization
Organization Name:SHRUJA PATEL MDPA
Other - Org Name:COMPLETE CARE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHRUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-508-6632
Mailing Address - Street 1:25314 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7254
Mailing Address - Country:US
Mailing Address - Phone:832-508-6632
Mailing Address - Fax:832-437-1640
Practice Address - Street 1:25314 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7254
Practice Address - Country:US
Practice Address - Phone:832-508-6632
Practice Address - Fax:832-437-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care