Organization
BHAVESH PATEL OD PLLC
Active
Other names
Texas State Optical Keller
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVESHKUMAR PATEL O.D. (OWNER)
(512) 791-9560
Entity
Organization
Contact information
Practice address
12584 N BEACH ST, SUITE 122, FORT WORTH, TX 76244-4249
(817) 431-4100
(855) 490-5723
Mailing address
12584 N BEACH ST, SUITE 122, FORT WORTH, TX 76244-4249
(817) 431-4100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7124TG
TX
152WC0802X
Corneal and Contact Management Optometrist
7124TG
TX
Other
Enumeration date
03/26/2013
Last updated
10/29/2013
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