Organization
MIRACLE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINAKIN R PATEL M.D. (OWNER)
(713) 464-0236
Entity
Organization
Contact information
Practice address
1170 BLALOCK RD, HOUSTON, TX 77055-7421
(713) 464-0236
(713) 463-8282
Mailing address
1170 BLALOCK RD, HOUSTON, TX 77055-7421
(713) 464-0236
(713) 463-8282
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J2727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00388T
BLUECROSS BLUESHIELD
TX
05
—
168655201
—
TX
01
—
DC2363
RAILROAD MEDICARE
TX
Enumeration date
04/10/2007
Last updated
09/16/2022
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