Organization
IDMDTX, PLLC
Active
Other names
IDMDTX
Organization subpart
No
Provider details
NPI number
Authorized official
MILONI SHROFF (AUTHORIZED OFFICIAL)
(813) 943-2570
Entity
Organization
Contact information
Practice address
1307 8TH AVE STE 306, FORT WORTH, TX 76104-4140
(813) 943-2570
Mailing address
4843 COLLEYVILLE BLVD # 251-103, COLLEYVILLE, TX 76034-3923
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
02/21/2025
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