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Organization

LONE STAR RENAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANUSHA JOGIMAHANTI MD (PRESIDENT)
(817) 647-9801
Entity
Organization

Contact information

Practice address
9800 N BEACH ST STE 500, FORT WORTH, TX 76244-6474
(817) 647-9801
Mailing address
9800 N BEACH ST STE 500, FORT WORTH, TX 76244-6474
(817) 647-9801

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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