Individual
MS. MITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5917 BELT LINE RD, DALLAS, TX 75254-7703
(972) 726-6464
Mailing address
5917 BELT LINE RD, DALLAS, TX 75254-7703
(972) 726-6464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02895
TX
Other
Enumeration date
11/13/2006
Last updated
09/16/2013
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