Individual
MRS. GARGEYI BANDARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-2820
(817) 250-4906
(817) 250-1815
Mailing address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-2820
(817) 250-4906
(817) 250-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q2734
TX
208M00000X
Hospitalist Physician
086420
OH
Other
Enumeration date
11/18/2005
Last updated
08/03/2015
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