Organization
PURNIMA VENKATESH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNIMA VENKATESH M.D. (PRESIDENT)
(817) 571-6622
Entity
Organization
Contact information
Practice address
2305 CENTRAL PARK BLVD, BEDFORD, TX 76022-6111
(817) 571-6622
(817) 868-1962
Mailing address
2305 CENTRAL PARK BLVD, BEDFORD, TX 76022-6111
(817) 571-6622
(817) 868-1962
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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