# IMRAN K PATEL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487015319
- **Authorized official:** IMRAN K PATEL MD (OWNER)
- **Authorized official phone:** (817) 375-5556

## Contact information

- **Practice address:** 6741 AUDUBON TRL, FORT WORTH, TX 76132-3081
- **Practice address phone:** (817) 375-5556
- **Mailing address:** 6741 AUDUBON TRL, FORT WORTH, TX 76132-3081
- **Mailing address phone:** (817) 375-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | M0522 | TX | Yes |

## Other

- **Enumeration date:** 03/21/2016
- **Last updated:** 06/15/2016