Organization
FROOD EELANI, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FROOD EELANI D.O. (OWNER)
(817) 921-3626
Entity
Organization
Contact information
Practice address
1315 6TH AVE, FORT WORTH, TX 76104-4327
(817) 921-3626
(817) 921-0391
Mailing address
1315 6TH AVE, FORT WORTH, TX 76104-4327
(817) 921-3626
(817) 921-0391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071EG
BCBS
TX
Enumeration date
07/24/2006
Last updated
08/22/2020
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