Individual
BHAVNA NITIN TANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W TERRELL AVE, FORT WORTH, TX 76104
(817) 702-2977
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8514
TX
Other
Enumeration date
04/14/2006
Last updated
04/18/2019
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