Provider Demographics
NPI:1912768748
Name:PATEL, REEMA (PA)
Entity Type:Individual
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First Name:REEMA
Middle Name:
Last Name:PATEL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:9330 LYNDON B JOHNSON FWY STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4310
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:972-788-4707
Practice Address - Street 1:1631 LANCASTER DR STE 330
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3586
Practice Address - Country:US
Practice Address - Phone:817-953-3420
Practice Address - Fax:817-953-3418
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant