| Minesh Patel Md Pa | |
|
3091 College St Beaumont TX 77701-4607 | |
| (409) 833-3535 | |
| (409) 833-4640 |
| Full Name | Minesh Patel Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3091 College St, Beaumont, Texas |
| Authorized Official Name and Position | Minesh Patel (OWNER) |
| Authorized Official Contact | 4098333535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minesh Patel Md Pa 3091 College St Beaumont TX 77701-4607 Ph: (409) 833-3535 | Minesh Patel Md Pa 3091 College St Beaumont TX 77701-4607 Ph: (409) 833-3535 |
| NPI Number | 1720268824 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 3971573734 |
|---|---|
| Medicare Enrollment ID | O20040728001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720268824 | NPI | - | NPPES |
| 1457369983 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L5088 (Texas) | Primary |
| Provider Name | Minesh M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457360083 PECOS PAC ID: 6507836368 Enrollment ID: I20100630000366 |
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