Individual
AISHA DHARMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1210125
TX
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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