Individual
PURAV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-7264
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.134575
OH
208M00000X
Hospitalist Physician
Primary
S9376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1U1748
MEDICARE
TX
05
—
429266201
—
TX
01
—
8QF241
BCBS
TX
Enumeration date
04/14/2015
Last updated
02/11/2022
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