Organization
MUNAZZA S. SETHI M.D, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA G ORTEGA (OFFICE MANAGER)
(817) 336-6000
Entity
Organization
Contact information
Practice address
1001 COLLEGE AVE, SUITE A, FORT WORTH, TX 76104-3000
(817) 336-6000
(817) 336-2072
Mailing address
1001 COLLEGE AVE, SUITE A, FORT WORTH, TX 76104-3000
(817) 336-6000
(817) 336-2072
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
N6648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764613
—
IA
Enumeration date
08/30/2010
Last updated
09/16/2010
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