Individual
DR. ANSHU DALELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4909 GOLDEN TRIANGLE BLVD STE 231, FORT WORTH, TX 76244-4480
(682) 297-5437
(682) 228-6447
Mailing address
706 MANCHESTER CT, SOUTHLAKE, TX 76092-8930
(347) 413-2135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
268969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1010
TEXAS LICENSE
TX
Enumeration date
04/05/2013
Last updated
08/09/2021
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