Individual
BHAVANA MANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 PANHANDLE ST STE 200, DENTON, TX 76201-2485
(940) 565-9118
(940) 383-2512
Mailing address
2721 PANHANDLE ST STE 200, DENTON, TX 76201-2485
(940) 565-9118
(940) 383-2312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07230896
TX
Other
Enumeration date
06/13/2023
Last updated
08/15/2023
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