Organization
DR MOHAMMED CHAUDHRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN LEDEZMA (MEDICAL BILLER)
(817) 626-9744
Entity
Organization
Contact information
Practice address
4819 RIVER OAKS BLVD, FORT WORTH, TX 76114-3098
(817) 626-9744
(817) 626-9962
Mailing address
4819 RIVER OAKS BLVD, FORT WORTH, TX 76114-3098
(817) 626-9744
(817) 626-9962
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E2171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127748504
—
TX
Enumeration date
07/08/2008
Last updated
07/08/2008
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