Individual
BHAVESHKUMAR PANSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 STATE HIGHWAY 121 APT 205, EULESS, TX 76039-4062
(817) 733-1629
Mailing address
2400 STATE HIGHWAY 121 APT 205, EULESS, TX 76039-4062
(817) 733-1629
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
54707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993291
EMPLOYEE ID
TX
Enumeration date
06/06/2014
Last updated
06/06/2014
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