Individual
DR. BASANTI RAJESH VRUSHAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 PRECINCT LINE RD STE 103, HURST, TX 76054-3345
(817) 281-4910
(817) 281-3107
Mailing address
1615 PRECINCT LINE RD, STE 103, HURST, TX 76054-3345
(817) 281-4910
(817) 281-3107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6940
TX
Other
Enumeration date
06/09/2005
Last updated
01/18/2023
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