Provider Demographics
NPI:1316219439
Name:PATEL, DARSHANABEN P (BDS, MSD)
Entity type:Individual
Prefix:DR
First Name:DARSHANABEN
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:BDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17500 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3032
Mailing Address - Country:US
Mailing Address - Phone:832-284-4484
Mailing Address - Fax:
Practice Address - Street 1:17500 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3032
Practice Address - Country:US
Practice Address - Phone:832-284-4484
Practice Address - Fax:832-284-4658
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-05
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273741223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics