Individual
DR. DAMYANTI S PATEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201A BRIARCREST DR, BRYAN, TX 77802-5223
(979) 776-9400
(979) 774-8903
Mailing address
1402 ESSEX GRN, COLLEGE STATION, TX 77845-8349
(979) 696-1231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F6067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AQ91
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/26/2006
Last updated
07/08/2007
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