Individual
KRISHNA LUITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
416 S HENDERSON ST, FORT WORTH, TX 76104-1017
(682) 478-8123
(888) 851-5356
Mailing address
416 S HENDERSON ST, FORT WORTH, TX 76104-1017
(682) 478-8123
(888) 851-5356
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
PA16848
TX
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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