Individual
ANUM BASHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5601 BRIDGE ST STE 450, FORT WORTH, TX 76112-2305
(682) 990-5600
Mailing address
5601 BRIDGE ST STE 450, FORT WORTH, TX 76112-2305
(682) 990-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13807
TX
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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