Individual
DR. MITAL M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1101 6TH AVE, FORT WORTH, TX 76104-4306
(817) 336-4637
(817) 336-7719
Mailing address
1101 6TH AVE, FORT WORTH, TX 76104-4306
(817) 336-4637
(817) 336-7719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101016463
MI
2085R0202X
Diagnostic Radiology Physician
Primary
P0269
TX
Other
Enumeration date
07/13/2007
Last updated
09/26/2011
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