PDH Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PDH CORPORATION

Doing business as

Pur Life Medical Southlake

Practice address

221 W Southlake Blvd, Ste 300
Southlake, TX 76092

Phone

(817) 796-8073

Fax

(817) 796-8360

NPI assigned

Aug 25, 2023

Last updated

Aug 25, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PDH CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Purav Patel, M.D.

Title

Internist

Phone

(205) 382-0890

Specialties & licenses 1

Addresses

Other names 1

• Pur Life Medical Southlake Doing business as

Part of

PDH Corporation

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1477338713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W SOUTHLAKE BLVD, STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-796-8073",
            "fax_number": "817-796-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W SOUTHLAKE BLVD, STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-796-8073",
            "fax_number": "817-796-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PDH CORPORATION",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PURAV",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "205-382-0890",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pur Life Medical Southlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.