| Patel Mind And Body Llc | |
|
603 S Tyler St Covington LA 70433-3345 | |
| (985) 333-1313 | |
| (985) 333-1545 |
| Full Name | Patel Mind And Body Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 603 S Tyler St, Covington, Louisiana |
| Authorized Official Name and Position | Jason Patel (OWNER) |
| Authorized Official Contact | 7063712636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patel Mind And Body Llc 603 S Tyler St Covington LA 70433-3345 Ph: (985) 333-1313 | Patel Mind And Body Llc 603 S Tyler St Covington LA 70433-3345 Ph: (985) 333-1313 |
| NPI Number | 1184332983 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 4587027180 |
|---|---|
| Medicare Enrollment ID | O20230830001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184332983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jason N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710418702 PECOS PAC ID: 1951672583 Enrollment ID: I20181016003704 |
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