Individual
SEJAL RAJESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Mailing address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2013040410
MO
363A00000X
Physician Assistant
PA10209
TX
363AS0400X
Surgical Physician Assistant
Primary
PA10209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365252101
—
TX
Enumeration date
10/10/2012
Last updated
10/14/2019
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