Individual
MINAKSHI J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2604 SAINT MICHAEL DR, STE 345, TEXARKANA, TX 75503-2379
(903) 838-5500
(903) 838-7402
Mailing address
2604 SAINT MICHAEL DR, STE 345, TEXARKANA, TX 75503-2379
(903) 838-5500
(903) 838-7402
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G1988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004270762
AETNA
TX
05
—
100021060A
—
OK
05
—
107665001
—
AR
05
—
115697802
—
TX
01
—
173010000
QUAL CHOICE
AR
01
—
3197132
BLUE LINK
AR
01
—
86656
BCBS OF ARKANSAS
AR
01
—
86V155
BCBS OF TEXAS
TX
01
—
O60037408
RAILROAD
—
Enumeration date
06/12/2006
Last updated
04/28/2010
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