Krspatelpack,LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KRSPATELPACK,LLC

Practice address

1535 West Mockingbird Lane,
Suite #400
Dallas, TX 75235

Phone

(214) 522-4640

Fax

(214) 522-4650

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Dhiren Patel, DO

Title

Owner

Phone

(214) 522-4640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1629468871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WEST MOCKINGBIRD LANE, SUITE #400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-522-4640",
            "fax_number": "214-522-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 WEST MOCKINGBIRD LANE,",
            "address_2": "SUITE #400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-522-4640",
            "fax_number": "214-522-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRSPATELPACK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHIREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-522-4640",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Krontz, LCSW-S
• Crystal Ann Kroschel, CRNA
• Molly Mertz Kroschewsky, PA-C
• Ramya Krothapally, MD
• Jessica Krotzer
• Deborah Ann Krueger-Leibensberger
• Alexander Oliver Krueger, LPC
• James H Krueger III, CRNA
• Jeffery Keith Krueger, M.D.
• Jo Ellen Reeves Krueger, MD

• Mental Illness Community Based Residential Treatment Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.