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Individual

DR. KUMAR PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2600 LAKESIDE PARKWAY, SUITE 180, FLOWER MOUND, TX 75028
(806) 517-4945
Mailing address
2600 LAKESIDE PKWY STE 180, FLOWER MOUND, TX 75022-4571
(817) 527-3604
(817) 665-3820

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8417TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
386993ZLZQ
MEDICARE NUMBER
TX
Enumeration date
06/10/2014
Last updated
01/13/2020
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