Individual
CHANDRAKANT H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4396
(817) 569-4517
Mailing address
PO BOX 2603, HTN NORTH, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4396
(817) 569-4517
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H5601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101292402
—
TX
05
—
101292403
—
TX
Enumeration date
12/05/2006
Last updated
06/10/2020
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