Individual
SHREYA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
619 S FLEISHEL AVE, STE 327, TYLER, TX 75701-2004
(903) 510-1173
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19851
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
19851
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N7959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07682365
—
MS
05
—
284561201
—
TX
01
—
75-2616977-012
TRICARE
TX
01
—
8CY127
BCBS
TX
Enumeration date
07/31/2007
Last updated
02/13/2025
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