Individual
DR. VIRENDRA C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 W CAMPBELL RD, SUITE 109, RICHARDSON, TX 75080-2976
(214) 575-2663
(214) 575-2664
Mailing address
4637 SHELL CT, PLANO, TX 75093-7144
(620) 331-2725
(214) 575-2664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0419853
KS
174400000X
Specialist
Primary
N4654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196990A
—
KS
01
—
TXB165405
MEDICARE
TX
Enumeration date
04/05/2006
Last updated
01/08/2014
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