Individual
GRISHMA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2026 CELEBRATION LN, ST PAUL, TX 75098-1887
(217) 819-0133
Mailing address
2026 CELEBRATION LN, ST PAUL, TX 75098-1887
(217) 819-0133
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1048616
TX
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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