Individual
BHAWANA PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N VALLEY PKWY # 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
Mailing address
3015 CROSS TIMBERS DR, IRVING, TX 75060-4713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134602
TX
363LP2300X
Primary Care Nurse Practitioner
AP134602
TX
Other
Enumeration date
08/23/2017
Last updated
04/08/2024
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