Provider Demographics
NPI:1235944919
Name:PATEL, SURAJ PINALBHAI
Entity type:Individual
Prefix:DR
First Name:SURAJ
Middle Name:PINALBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 FAIRMONT PKWY APT 116
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3054
Mailing Address - Country:US
Mailing Address - Phone:936-225-9175
Mailing Address - Fax:
Practice Address - Street 1:2202 LA BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8934
Practice Address - Country:US
Practice Address - Phone:346-615-5358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor