Individual
KELLY POTTER BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 MATLOCK RD, ARLINGTON, TX 76015-2908
(682) 509-6200
Mailing address
640 CHERRY TREE DR, KELLER, TX 76248-8240
(817) 403-3059
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1477187185
TX
Other
Enumeration date
03/03/2020
Last updated
12/31/2020
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