Provider Demographics
NPI:1386299089
Name:PATEL, NEAL RAJENDRA (DPT)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:RAJENDRA
Last Name:PATEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 LOS RIOS BLVD STE 132
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3478
Mailing Address - Country:US
Mailing Address - Phone:972-509-5070
Mailing Address - Fax:972-509-1557
Practice Address - Street 1:5255 N GEORGE BUSH HWY STE 200
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040
Practice Address - Country:US
Practice Address - Phone:972-881-8887
Practice Address - Fax:972-730-9887
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP18996225100000X
TX1325014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist