Individual
JAYENDRA D. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-5220
(903) 614-2111
(903) 614-6913
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
F6299
TX
207RX0202X
Medical Oncology Physician
Primary
F6299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099731403
—
TX
05
—
099731404
—
TX
05
—
100021020A
—
OK
05
—
107659001
—
AR
Enumeration date
07/08/2005
Last updated
11/14/2016
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