Basic Information
| Provider Information | |||||||||
| NPI: | 1326427345 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PURVI PATEL, M.D., PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1920 COUNTRY PLACE PKWY | ||||||||
| Address2: | SUITE 342 | ||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775842282 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8329162075 | ||||||||
| FaxNumber: | 8329162480 | ||||||||
| Practice Location | |||||||||
| Address1: | 1920 COUNTRY PLACE PKWY | ||||||||
| Address2: | SUITE 342 | ||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775842282 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8329162075 | ||||||||
| FaxNumber: | 8329162480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2015 | ||||||||
| LastUpdateDate: | 07/03/2015 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | PURVI | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8329162075 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | P4993 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.