Individual
BEENA M. TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2919 MARKUM DRIVE, FORT WORTH, TX 76117-4004
(817) 831-0321
(817) 831-3211
Mailing address
2919 MARKUM DRIVE, FORT WORTH, TX 76117-4004
(817) 831-0321
(817) 831-3211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042901101
—
TX
Enumeration date
06/01/2005
Last updated
06/03/2010
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