Individual
VILKESH RAMANLAL JAISWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2113
(817) 878-5637
(817) 878-5698
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K8918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150996004
—
TX
01
—
8S9691
BCBS
TX
01
—
P00292106
RAILROAD MEDICARE
TX
Enumeration date
07/17/2006
Last updated
03/23/2015
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