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Organization

JASPAUL S. BHANGOO, M.D., P.A,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASPAUL S. BHANGOO M.D. (PHYSICIAN/PRESIDENT)
(940) 891-6066
Entity
Organization

Contact information

Practice address
3323 COLORADO BLVD, SUITE 105, DENTON, TX 76210
(940) 891-6066
(940) 891-0515
Mailing address
3323 COLORADO BLVD, SUITE 105, DENTON, TX 76210
(940) 891-6066
(940) 891-0515

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5054
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0095PS
BCBS
TX
05
202190901
TX
Enumeration date
06/05/2007
Last updated
08/31/2010
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