Punit Kamlesh Patel

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2196895 Issued in TX

Practice address

2634 Highway 36 S
Brenham, TX 77833-9600

Phone

(833) 483-7800

Fax

(833) 483-7800

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intuit Testing LLC

  • Clinical Medical Laboratory
  • Brenham, TX
  • NPI 1619560778
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1720657083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9032 TYNE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187501",
            "telephone_number": "817-287-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339600",
            "telephone_number": "833-483-7800",
            "fax_number": "833-483-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUNIT",
        "middle_name": "KAMLESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2196895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Rehabilitation LTD
• Timothy Osborn, M.D.
• Veronica A Paramore, PA
• Dorman Lee Parker, CRNA
• Kimberlee Anne Parmer, LPC , LCDC
• Kaci Patranella, LPC ASSOCIATE
• Paul D. Jantzi, M.D., P.a.
• Pek'S Legacy Healthcare, Incorporated
• Travis Pelley, FNP-C
• Leonidas Pena, MD

• Clinical Medical Laboratory in Brenham, TX
• Providers in Brenham, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.