Individual
NITIN P BHANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCO
Contact information
Practice address
13 PRESTIGE CIR STE 180, ALLEN, TX 75002-3453
(214) 596-9508
(214) 596-9147
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-5606
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1840
TX
Other
Enumeration date
01/18/2017
Last updated
06/20/2024
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