Organization
SHIV PATEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIDI BELL (CREDENTIALING COORDINATOR)
(817) 926-2663
Entity
Organization
Contact information
Practice address
215 OLD HIGHWAY 1187, BURLESON, TX 76028-0281
(817) 926-2663
(817) 293-8860
Mailing address
215 OLD HIGHWAY 1187, BURLESON, TX 76028-0281
(817) 926-2663
(817) 293-8860
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/31/2020
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