Individual
DR. AMITA DINESHKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7001 CORPORATE DR STE 120, HOUSTON, TX 77036-5113
(713) 773-0803
Mailing address
7001 CORPORATE DR STE 120, HOUSTON, TX 77036-5113
(713) 773-0803
(713) 271-5422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6952TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1J9242
MEDICARE
TX
05
—
217693501
—
TX
05
—
217693502
—
TX
05
—
217693503
—
TX
Enumeration date
06/18/2007
Last updated
12/23/2020
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