Organization
SATYA P. KAUSHIK,M.D.,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATYA PRAKASH KAUSHIK M.D. (PRESIDENT)
(817) 335-3279
Entity
Organization
Contact information
Practice address
617 TRAVIS AVE, FORT WORTH, TX 76104-3153
(817) 335-3279
(817) 335-7763
Mailing address
617 TRAVIS AVE, FORT WORTH, TX 76104-3153
(817) 335-3279
(817) 335-7763
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G9608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127006801
—
TX
Enumeration date
11/04/2016
Last updated
11/04/2016
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