Basic Information
| Provider Information | |||||||||
| NPI: | 1932580610 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | SNEHA | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 W MAGNOLIA AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761047657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177022799 | ||||||||
| FaxNumber: | 8177022140 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761044909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179271395 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2015 | ||||||||
| LastUpdateDate: | 09/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | S7115 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207R00000X | 294701 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.