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Individual

MRS. KUMUD CHAWLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2317 STARLIGHT CT, ARLINGTON, TX 76016-6425
(817) 277-5822
(817) 277-5842
Mailing address
2317 STARLIGHT CT, ARLINGTON, TX 76016-6425
(817) 277-5822
(817) 277-5842

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
513615
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1491755-03
TX
01
P00413519
MEDICARE RAILROAD
TX
Enumeration date
01/14/2007
Last updated
03/13/2008
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