Individual
BHUMIKA SHREE K C
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S MAIN ST, FORT WORTH, TX 76104-4909
(817) 702-1581
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(682) 712-6654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T5935
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
T5935
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
T5935
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/30/2018
Last updated
02/27/2024
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