Individual
GEETA MANTHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 S. MAIN STREET, FORTWORTH, TX 76104
(862) 220-0328
Mailing address
9202 ELAM RD, DALLAS, TX 75217-4151
(214) 786-6968
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
N6918
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2007
Last updated
02/28/2019
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