Individual
KRISHNA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2917 CROCKETT STREET, FORT WORTH, TX 76107
(817) 385-4814
Mailing address
3107 N MAIN ST, FORT WORTH, TX 76106-5833
(817) 726-8411
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
825255784
TX
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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