Individual
DR. PURNIMA VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2305 CENTRAL PARK BLVD, BEDFORD, TX 76022-6111
(817) 571-6622
(817) 868-1962
Mailing address
2305 CENTRAL PARK BLVD, BEDFORD, TX 76022-6111
(817) 571-6622
(817) 868-1962
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K9446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7010260
AETNA
TX
01
—
82392S
BC/BS
TX
Enumeration date
04/27/2006
Last updated
07/08/2007
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