Provider Demographics
NPI:1114715505
Name:PATEL, DAYABEN YATINKUMAR (PMHNP)
Entity type:Individual
Prefix:
First Name:DAYABEN
Middle Name:YATINKUMAR
Last Name:PATEL
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 TANYARD MANOR DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7178
Mailing Address - Country:US
Mailing Address - Phone:346-717-9136
Mailing Address - Fax:
Practice Address - Street 1:4919 TANYARD MANOR DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7178
Practice Address - Country:US
Practice Address - Phone:346-717-9136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1195009363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health