Basic Information
Provider Information
NPI: 1508286527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: SAPNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5323 HARRY HINES BOULEVARD
Address2:  
City: DALLAS
State: TX
PostalCode: 752908857
CountryCode: US
TelephoneNumber: 2146482762
FaxNumber: 2146488917
Practice Location
Address1: 1303 MCCULLOUGH AVE STE 374
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782125615
CountryCode: US
TelephoneNumber: 2102235483
FaxNumber: 2102235492
Other Information
ProviderEnumerationDate: 04/17/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10050267TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RE0101XR2701TXY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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