Individual
MRS. MAMTA R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1441 S MIDLOTHIAN PKWY, SUITE 100, MIDLOTHIAN, TX 76065-5591
(972) 723-1474
(972) 723-9423
Mailing address
2508 BAYSIDE DR, GRAND PRAIRIE, TX 75054-6820
(949) 291-8774
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04976
TX
Other
Enumeration date
08/18/2008
Last updated
04/07/2022
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