Individual
MS. POONAM C BENAKATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
500 THROCKMORTON STREET UNIT 3012, FORT WORTH, TX 76102
(817) 908-5292
(817) 885-7339
Mailing address
500 THROCKMORTON STREET UNIT 3012, FORT WORTH, TX 76102
(817) 908-5292
(817) 885-7339
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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