Organization
VIRENDRAKUMAR D MEHTA MD PA
Active
Other names
VIRENDRAKUMAR D MEHTA MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRENDRAKUMAR D MEHTA M.D. (OWNER)
(940) 766-1079
Entity
Organization
Contact information
Practice address
1815 10TH ST, WICHITA FALLS, TX 76301-5054
(940) 766-1079
(940) 322-6023
Mailing address
1815 10TH ST, WICHITA FALLS, TX 76301-5054
(940) 766-1079
(940) 322-6023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G2432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123332202
—
TX
Enumeration date
02/14/2007
Last updated
11/08/2013
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