Provider Demographics
NPI:1336420801
Name:PATEL, DEEPA R (APN-BC)
Entity type:Individual
Prefix:MS
First Name:DEEPA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N BONNIE BRAE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3749
Mailing Address - Country:US
Mailing Address - Phone:866-284-8788
Mailing Address - Fax:
Practice Address - Street 1:209 N BONNIE BRAE ST STE 300
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3749
Practice Address - Country:US
Practice Address - Phone:866-284-8788
Practice Address - Fax:866-284-8788
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659640363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health