Individual
MRS. HETISHA DESAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 MEDICAL PKWY STE 370, LAKEWAY, TX 78738-1798
(512) 445-5998
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11359
TX
Other
Enumeration date
06/30/2012
Last updated
07/25/2019
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