Organization
KRSPATELPACK,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHIREN PATEL DO (OWNER)
(214) 522-4640
Entity
Organization
Contact information
Practice address
1535 WEST MOCKINGBIRD LANE,, SUITE #400, DALLAS, TX 75235
(214) 522-4640
(214) 522-4650
Mailing address
1535 WEST MOCKINGBIRD LANE, SUITE #400, DALLAS, TX 75235
(214) 522-4640
(214) 522-4650
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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