Provider Demographics
NPI:1548266570
Name:VIPULKUMAR G. PATEL, M.D., P.A.
Entity type:Organization
Organization Name:VIPULKUMAR G. PATEL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIPULKUMAR
Authorized Official - Middle Name:G
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-534-8814
Mailing Address - Street 1:PO BOX 58233
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8233
Mailing Address - Country:US
Mailing Address - Phone:281-534-8800
Mailing Address - Fax:281-534-8826
Practice Address - Street 1:3828 HUGHES CT
Practice Address - Street 2:STE 105
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6235
Practice Address - Country:US
Practice Address - Phone:281-534-8800
Practice Address - Fax:281-534-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3028424OtherAETNA
TXDG1973OtherRAILROAD MEDICARE
TX00867FOtherBLUE CROSS BLUE SHIELD
TX1542896-01Medicaid
TX9501450OtherCIGNA HEALTHCARE
TX00261UMedicare PIN