Provider Demographics
NPI:1922366368
Name:DEPALT INC
Entity Type:Organization
Organization Name:DEPALT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-688-2351
Mailing Address - Street 1:5013 STONEWICK CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3457
Mailing Address - Country:US
Mailing Address - Phone:469-688-2351
Mailing Address - Fax:
Practice Address - Street 1:5013 STONEWICK CT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3457
Practice Address - Country:US
Practice Address - Phone:469-688-2351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty