Individual
DR. THOMAS RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1634 MISTLETOE BLVD, FORT WORTH, TX 76104-4012
(817) 489-5778
(817) 489-5779
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 339-8889
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
P4500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309716401
—
TX
05
—
309716402
—
TX
Enumeration date
08/20/2006
Last updated
03/30/2026
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