Individual
GEORGINA KERLAKIAN SEHAPAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 200, FORT WORTH, TX 76104-7400
(817) 820-0141
(817) 820-0145
Mailing address
1650 W ROSEDALE ST, SUITE 200, FORT WORTH, TX 76104-7400
(817) 820-0141
(817) 820-0145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D8427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135480501
—
TX
Enumeration date
04/03/2006
Last updated
08/22/2008
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