Individual
DIXITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1166
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-012717
IL
363LA2100X
Acute Care Nurse Practitioner
209012717
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
AP142211
TX
Other
Enumeration date
01/30/2016
Last updated
01/04/2023
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