Individual
JENNIE BHARATKUMAR PATWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1287
Mailing address
214 HEATHERWOOD DR, IRVING, TX 75063-7202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021345
NY
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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