Organization
RAKESH PATEL M.D. P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH R PATEL M.D. (OWNER)
(281) 470-4700
Entity
Organization
Contact information
Practice address
10611 W FAIRMONT PKWY, LA PORTE, TX 77571-6006
(281) 470-4700
(281) 470-8787
Mailing address
10611 W FAIRMONT PKWY, LA PORTE, TX 77571-6006
(281) 470-4700
(281) 470-8787
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K2091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016EW
BLUE CROSS BLUE SHIELD
TX
01
—
00238M
MEDICARE PTAN
TX
01
—
10021892
AMERIGROUP
TX
05
—
121426402
—
TX
05
—
121426404
—
TX
Enumeration date
08/24/2011
Last updated
08/24/2011
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