Individual
DR. ANIL TUKARAMPANT BANGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 RIVER OAKS BLVD, RIVER OAKS, TX 76114-2923
(817) 626-5424
(817) 626-4354
Mailing address
5201 RIVER OAKS BLVD, RIVER OAKS, TX 76114-2923
(817) 626-5424
(817) 626-4354
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
E7370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111743401
—
TX
Enumeration date
05/19/2006
Last updated
10/06/2011
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