Individual
DR. JAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 8TH AVE STE 306, FORT WORTH, TX 76104-2602
(682) 224-3748
(682) 841-0039
Mailing address
800 8TH AVE STE 306, FORT WORTH, TX 76104-2602
(682) 224-3748
(682) 841-0039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P9933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346452101
—
TX
01
—
383431
MEDICARE PTAN
TX
Enumeration date
04/09/2013
Last updated
02/13/2018
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