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Individual

TEJAS P PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 GOLDER AVE, ODESSA, TX 79761-4442
(432) 337-3117
(432) 640-2868
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 337-3117
(432) 640-2868

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N7159
TX
207RC0000X
Cardiovascular Disease Physician
MD214-0864
NM
207RC0000X
Cardiovascular Disease Physician
Primary
N7159
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09621831
NM
05
215408003
TX
Enumeration date
01/09/2008
Last updated
02/26/2016
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