Provider Demographics
NPI:1902343841
Name:PATEL, DELINA R (OD)
Entity Type:Individual
Prefix:DR
First Name:DELINA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:24919 BRIDGETON MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7299
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 TOWN AND COUNTRY BLVD STE 2460
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3900
Practice Address - Country:US
Practice Address - Phone:713-984-9144
Practice Address - Fax:713-461-9858
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9413TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist