Provider Demographics
NPI:1962736355
Name:PATEL, RACHNA P (PA-C)
Entity type:Individual
Prefix:
First Name:RACHNA
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7777 FOREST LANE
Mailing Address - Street 2:SUITE A-222
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-566-7970
Mailing Address - Fax:972-566-5692
Practice Address - Street 1:7777 FOREST LANE
Practice Address - Street 2:SUITE A-222
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2560
Practice Address - Country:US
Practice Address - Phone:972-566-7970
Practice Address - Fax:972-566-5692
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04813363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical