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Individual

ANKITA BAGARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5939 HARRY HINES BLVD 9TH FL STE 925, DALLAS, TX 75390-3183
(214) 645-2870
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339140101
TX
Enumeration date
11/09/2012
Last updated
08/20/2019
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