Provider Demographics
NPI:1144968140
Name:PATEL, CHIRAGKUMAR (APRN-CNP)
Entity type:Individual
Prefix:MR
First Name:CHIRAGKUMAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13425 CHALET AVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1415
Mailing Address - Country:US
Mailing Address - Phone:706-338-6203
Mailing Address - Fax:
Practice Address - Street 1:6020 W PARKER RD STE 430
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0001
Practice Address - Country:US
Practice Address - Phone:214-501-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1078886363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily