Individual
BALAGURU KOLANDAVELO SAMBANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3025 N TARRANT PKWY STE 100, FORT WORTH, TX 76177-8625
(817) 717-5268
(817) 717-8021
Mailing address
1540 KELLER PKWY # 108-249, KELLER, TX 76248-3686
(817) 717-5268
(817) 717-8021
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P5128
TX
Other
Enumeration date
06/26/2008
Last updated
01/17/2019
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