Provider Demographics
NPI:1710988415
Name:PATEL, PARUL (MD)
Entity Type:Individual
Prefix:
First Name:PARUL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1464
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-1464
Mailing Address - Country:US
Mailing Address - Phone:281-304-5100
Mailing Address - Fax:281-304-5191
Practice Address - Street 1:15040 FAIRFIELD VILLAGE SQUARE DR
Practice Address - Street 2:STE 150
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5952
Practice Address - Country:US
Practice Address - Phone:281-304-5100
Practice Address - Fax:281-304-5191
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ2254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G57943Medicare UPIN
TX8J9846Medicare PIN