Individual
DEEPAK C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HOSPITAL DR, STE. 101, CORSICANA, TX 75110-2489
(903) 641-3800
(903) 641-3812
Mailing address
400 HOSPITAL DR, SUITE 111, CORSICANA, TX 75110-2489
(903) 641-4895
(903) 641-4894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104134502
—
TX
01
—
84071X
BLUE CROSS
TX
Enumeration date
04/05/2006
Last updated
09/11/2020
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