Organization
C G PATEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HINA C PATEL (OFFICE MANAGER)
(409) 722-3175
Entity
Organization
Contact information
Practice address
1411 S HIGHWAY 69, NEDERLAND, TX 77627-7842
(409) 722-3175
(409) 727-7987
Mailing address
1411 S HIGHWAY 69, NEDERLAND, TX 77627-7842
(409) 722-3175
(409) 727-7987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042QU
BLUE CROSS BLUE SHIELD OF TX
TX
05
—
1134154545
—
TX
05
—
115272001
—
TX
01
—
8AU520
BLUE CROSS BLUE SHIELD OF TX
TX
Enumeration date
01/02/2008
Last updated
01/07/2011
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