Provider Demographics
NPI:1902397516
Name:PARESH PATEL MD PA
Entity Type:Organization
Organization Name:PARESH PATEL MD PA
Other - Org Name:LONE STAR LUNG & SLEEP CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/ PRACTICE FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:PARESH
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-870-4567
Mailing Address - Street 1:13325 HARGRAVE RD STE 265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4539
Mailing Address - Country:US
Mailing Address - Phone:281-870-4567
Mailing Address - Fax:281-870-4884
Practice Address - Street 1:13325 HARGRAVE RD STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4539
Practice Address - Country:US
Practice Address - Phone:281-870-4567
Practice Address - Fax:281-870-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN-3238207RP1001X, 261Q00000X, 261QH0100X, 261QS1200X
207RS0012X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508022484OtherPERSONAL NPI
1487155438OtherGROUP NPI NUMBER