Individual
ANURADHA NAMUDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3520 NW CENTRE DR, FORT WORTH, TX 76135-3612
(214) 529-3062
Mailing address
3520 NW CENTRE DR, FORT WORTH, TX 76135-3612
(214) 529-3062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q5049
TX
Other
Enumeration date
03/31/2013
Last updated
10/06/2015
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