Provider Demographics
NPI:1891255352
Name:PATEL, PRITI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PRITI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 WESLAYAN ST STE B&C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5132
Mailing Address - Country:US
Mailing Address - Phone:832-307-1678
Mailing Address - Fax:832-307-1674
Practice Address - Street 1:2900 WESLAYAN ST STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5150
Practice Address - Country:US
Practice Address - Phone:832-307-1678
Practice Address - Fax:832-307-1674
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-21
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59580183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist