Individual
MISS KRUTI NIKUL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18500 KATY FWY, HOUSTON, TX 77094-1110
(832) 522-1000
Mailing address
7960 RIVIERA CT, BEAUMONT, TX 77707-5477
(409) 651-2410
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14091
TX
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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