Individual
ANJALI KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
855 MONTGOMERY, FORT WORTH, TX 76107-2553
(817) 920-7340
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 920-7340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213921401
—
TX
01
—
8CM787
BCBS
TX
01
—
P01234890
RAILROAD MEDICARE
TX
Enumeration date
09/08/2008
Last updated
01/17/2014
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