Individual
PRIYANK JAYESHKUMAR YAGNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-7942
(682) 885-7956
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
04-37759
KS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
P3270
TX
Other
Enumeration date
05/19/2009
Last updated
02/08/2022
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