Provider Demographics
NPI:1891911046
Name:FORT BEND PRIMARY CARE P.A.
Entity Type:Organization
Organization Name:FORT BEND PRIMARY CARE P.A.
Other - Org Name:ANIL B PATEL MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-491-6329
Mailing Address - Street 1:1235 LAKE POINTE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4078
Mailing Address - Country:US
Mailing Address - Phone:281-491-6329
Mailing Address - Fax:281-491-6333
Practice Address - Street 1:1235 LAKE POINTE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4078
Practice Address - Country:US
Practice Address - Phone:281-491-6329
Practice Address - Fax:281-491-6333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1129817OtherWELLCARE
TX150012601Medicaid
TX150012601Medicaid