Organization
CROWN MOON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMESH PATEL MD (OWNER)
(214) 315-6432
Entity
Organization
Contact information
Practice address
4516 LOVERS LN # 331, DALLAS, TX 75225-6925
(214) 315-6432
(214) 317-4667
Mailing address
PO BOX 678622, DALLAS, TX 75267-8622
(214) 315-6432
(214) 317-4667
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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