Stavan Yogendra Patel, DDS, MD

Maxillofacial surgeon in Tyler, Texas · NPI 1558688309

Stavan Patel is one of 2 maxillofacial surgeons practicing in Tyler, Texas. See all maxillofacial surgeons in Texas. Stavan Patel practices with Christus Trinity Clinic.

Registry record (NPPES)

NPI: 1558688309
Type: Type 1 · Individual
Primary taxonomy: Oral & Maxillofacial Surgery · 204E00000X
Address on file: 2508 Bert Kouns Industrial Loop Ste 410
Shreveport, LA 71118-3157
(318) 212-5944
Enumerated: May 3, 2010
Record last updated: Nov 21, 2024
License states listed: LA, TX

Medicare (CMS)

Enrollment: Medicare-enrolled in LA, TX
Maxillofacial Surgery
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

620 S Fleishel Ave Christus Trinity Clinic
Tyler, TX 75701
(903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701
(903) 606-5560
700 E Marshall Ave Christus Trinity Clinic
Longview, TX 75601
(903) 315-1488
5002 Cowhorn Creek Rd
Texarkana, TX 75503

More maxillofacial surgeons in Tyler

Brian Henry Stone, DDS, MD

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.