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Hetisha Desai Patel, PA-C

Physician Assistant in Lakeway, TX. Individual provider (NPI-1).

NPI number1295099646
StatusActive
Last updated in NPPESJul 25, 2019

Details

NPI
1295099646
Entity type
Individual (NPI-1)
Name
Mrs. Hetisha Desai Patel
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2012
Last updated
Jul 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA11359TXYes

Practice location

200 Medical Pkwy Ste 370
Lakeway, TX 78738-1798

Phone 512-445-5998

Mailing address

Po Box 844658
Dallas, TX 75284-4658

Phone 254-724-8800

Other practice locations

200 Medical Pkwy Ste 370
Lakeway, TX 78738-1798

Phone 512-445-5998

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Other Physician Assistant providers in Lakeway, TX

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