Organization
MODERN GYNECOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT INDRAVADAN PATEL M.D. (MANAGER/ PRESIDENT)
(214) 604-5440
Entity
Organization
Contact information
Practice address
3822 BOWSER AVE., DALLAS, TX 75219-4301
(214) 604-5440
Mailing address
3822 BOWSER AVE., DALLAS, TX 75219-4301
(214) 604-5440
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
M3682
TX
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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