Individual
DR. BIPIN RAJ BISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 8TH AVE STE 135, FORT WORTH, TX 76104-4156
(214) 358-2300
(214) 579-6993
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6993
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA12666200
NJ
207RN0300X
Nephrology Physician
R4520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R4520
MEDICAL LICENSE
TX
Enumeration date
01/03/2008
Last updated
07/07/2025
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