Individual
NISHANT JAYANTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 MEDICAL ARTS DR, SUITE 295, FLOWER MOUND, TX 75028-1712
(972) 691-3777
(972) 691-3666
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008016746
MO
207RG0100X
Gastroenterology Physician
Primary
Q2600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8FK385
BCBSTX PROVIDER IDENTIFICATION NUMBER
TX
Enumeration date
06/20/2008
Last updated
03/03/2016
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