Organization
INFECTIOUS DISEASES CONSULTANTS OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUKANTH REDDY MD (MD/OWNER)
(817) 370-3444
Entity
Organization
Contact information
Practice address
6551 HARRIS PKWY STE 110, FORT WORTH, TX 76132-6105
(817) 370-3444
(817) 984-4666
Mailing address
8528 DAVIS BLVD STE 134-359, NORTH RICHLAND HILLS, TX 76182-8367
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356319990
INDIVIDUAL NPI
—
Enumeration date
09/25/2019
Last updated
09/25/2019
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