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Individual

PAYAL PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1008 PALUXY RD, GRANBURY, TX 76048-2397
(817) 573-7178
Mailing address
1008 PALUXY RD, GRANBURY, TX 76048-2397
(817) 573-7178

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2292
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
2292
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
387710201
TX
Enumeration date
08/13/2013
Last updated
10/16/2018
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