Individual
NISHA RATHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 W ROSEDALE ST, FORT WORTH, TX 76104-7403
(682) 885-3426
(682) 885-7699
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S0367
TX
Other
Enumeration date
04/17/2013
Last updated
06/28/2023
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