Individual
KIRAN ASHOK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(817) 960-6564
Mailing address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(573) 263-5441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1183408
NCCPA
—
Enumeration date
03/30/2020
Last updated
09/30/2022
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