Individual
FROOD EELANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
BLUE CROSS BLUE SHIELD
TX
05
—
096418102
—
TX
Enumeration date
07/20/2006
Last updated
06/25/2025
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