Provider Demographics
NPI:1013334879
Name:PATEL, SNEHA (CPNP - PC)
Entity Type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:CPNP - PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4830 CEDAR SPRINGS RD
Mailing Address - Street 2:UNIT 3
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-1366
Mailing Address - Country:US
Mailing Address - Phone:352-615-0999
Mailing Address - Fax:
Practice Address - Street 1:4830 CEDAR SPRINGS RD
Practice Address - Street 2:UNIT 3
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-1366
Practice Address - Country:US
Practice Address - Phone:352-615-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX826156363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics