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Individual

ANJU BANJADE KHAREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1816 S FM 51 STE 1200, DECATUR, TX 76234-3796
(940) 626-0052
(940) 626-0122
Mailing address
1816 S FM 51 STE 1200, DECATUR, TX 76234-3796
(940) 626-0085
(940) 626-0082

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135434
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
BCBSTX
TX
05
PENDING
TX
Enumeration date
11/09/2017
Last updated
12/08/2017
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