Provider Demographics
NPI:1669589255
Name:NEELA R. PATEL, DDS, PA
Entity type:Organization
Organization Name:NEELA R. PATEL, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-861-7216
Mailing Address - Street 1:2525 NORTH LOOP W STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1082
Mailing Address - Country:US
Mailing Address - Phone:713-861-7216
Mailing Address - Fax:713-861-7241
Practice Address - Street 1:2525 NORTH LOOP W STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1082
Practice Address - Country:US
Practice Address - Phone:713-861-7216
Practice Address - Fax:713-861-7241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18019261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821358318OtherINDIVIDUAL NPI