# PRASANNA K.N.KUMAR M.D. F.R.C.S. P.A.

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

## Provider details

- **NPI number:** 1821322595
- **Authorized official:** DR. PRASANNA KUMAR M.D. (PRESIDENT)
- **Authorized official phone:** (817) 589-2517

## Contact information

- **Practice address:** 3813 DIAMOND LOCH W, FORT WORTH, TX 76180-8729
- **Practice address phone:** (817) 589-2517
- **Practice address fax:** (817) 284-7021
- **Mailing address:** 3813 DIAMOND LOCH W, FORT WORTH, TX 76180-8729
- **Mailing address phone:** (817) 589-2517
- **Mailing address fax:** (817) 284-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | F6274 | TX | Yes |
| 314000000X | Skilled Nursing Facility | F6274 | TX | — |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 09/28/2009