# FORT WORTH INFECTIOUS DISEASE CONSULTANTS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790154102
- **Authorized official:** DR. KRISHNA KANTH BOBBILI MD (OWNER)
- **Authorized official phone:** (704) 877-4690

## Contact information

- **Practice address:** 11803 SOUTH FWY STE 111, BURLESON, TX 76028-7028
- **Practice address phone:** (817) 349-9500
- **Practice address fax:** (817) 349-9501
- **Mailing address:** 11803 SOUTH FWY STE 111, BURLESON, TX 76028-7028
- **Mailing address phone:** (817) 349-9500
- **Mailing address fax:** (817) 349-9501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | N5578 | TX | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 01/03/2018