Individual
DR. USHA WALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2719 NORTHRDGE DR, SUITE 107, BEDFORD, TX 76021-4142
(817) 577-8580
(817) 282-8141
Mailing address
2719 NORTHRIDGE DR, SUITE 107, BEDFORD, TX 76021-4142
(817) 577-8580
(817) 282-8141
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J0719
TX
208D00000X
General Practice Physician
J0719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034396401
—
TX
01
—
11108851
CAQH
TX
01
—
1306084793
GROUP NPI
TX
Enumeration date
09/05/2006
Last updated
03/18/2011
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