Organization
VISHNU K RUMALLA, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHNU RUMALLA (OWNER)
(817) 334-0030
Entity
Organization
Contact information
Practice address
800 EIGHTH AVE, SUITE #240, FORT WORTH, TX 76104-2619
(817) 334-0030
Mailing address
800 EIGHTH AVE, SUITE #240, FORT WORTH, TX 76104-2619
(817) 334-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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