Individual
PURVIBEN SANMUKHBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 808-0237
Mailing address
4404 LOGAN RIDGE DR, CEDAR PARK, TX 78613-2650
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
722937
TX
174N00000X
Lactation Consultant (Non-RN)
L-305271
TX
Other
Enumeration date
12/27/2022
Last updated
04/18/2023
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