# PREVENTIVE MEDICINE INSTITUTE PA

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

## Provider details

- **NPI number:** 1831396639
- **Authorized official:** DR. MAYA R PATEL M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (281) 277-9898

## Contact information

- **Practice address:** 16651 SOUTHWEST FWY, SUITE 300, SUGAR LAND, TX 77479-2345
- **Practice address phone:** (281) 277-9898
- **Mailing address:** 16651 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77479-2348
- **Mailing address phone:** (281) 277-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | K7197 | TX | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 07/07/2014
