Individual
BIMAL JAYPRAKASH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
515 WESTHEIMER RD, STE A-2, HOUSTON, TX 77006-2931
(713) 485-6033
(713) 497-5721
Mailing address
1403 ELGIN ST, HOUSTON, TX 77004-2832
(832) 715-0974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8171-T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00308V
GROUP MEDICARE PTAN
TX
Enumeration date
06/15/2013
Last updated
04/13/2016
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