Individual
CARLOS S BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
508 S ADAMS ST STE 102, FORT WORTH, TX 76104-2151
(817) 339-8855
(817) 339-8889
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 339-8889
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M3878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184625503
—
TX
01
—
P00791930
RAILROAD MEDICARE
TX
Enumeration date
07/08/2006
Last updated
11/05/2015
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