Individual
DR. TEJAL AMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6545 MAIN STREET, OPC21, HOUSTON, TX 77030
(713) 441-9948
Mailing address
6545 MAIN STREET, OPC21, HOUSTON, TX 77030
(713) 441-9948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME91092
FL
207RH0003X
Hematology & Oncology Physician
Primary
N1050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215910237
BLUE CROSS BLUE SHIELD
TX
01
—
P01142071
RR MEDICARE
TX
Enumeration date
11/23/2005
Last updated
03/20/2019
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