Most Relevant Information
Provider Data
| NPI Number: | 1003564642 |
| Provider Name: | DIPA RAJESH PATEL |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1063628 |
Most Important Dates
| Enumeration Date: | 03/14/2022 |
| Last Updated: | 03/14/2022 |
Provider Practice Location
1515 HOLCOMBE BLVD
HOUSTON
TX
770304000
Practice Location Phone/Fax
| Phone: | 7137926161 |
| Fax: |
Provider Mailing Location
PO BOX 4439
HOUSTON
TX
772104439
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |