Provider Demographics
NPI:1851022446
Name:TEXAS INTERNAL MEDICINE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:TEXAS INTERNAL MEDICINE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIPALI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:469-766-7606
Mailing Address - Street 1:370 S STATE HIGHWAY 121 N STE 100
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-3988
Mailing Address - Country:US
Mailing Address - Phone:972-382-5761
Mailing Address - Fax:972-954-1734
Practice Address - Street 1:370 S STATE HIGHWAY 121 N STE 100
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3988
Practice Address - Country:US
Practice Address - Phone:972-382-5761
Practice Address - Fax:972-954-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty