Organization
AYESHA KANWAL DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYESHA KANWAL DO (AUTHORIZED/OWNER)
(817) 703-8671
Entity
Organization
Contact information
Practice address
4819 RIVEROAKS BLVD, FORT WORTH, TX 76114-3098
(817) 626-9744
(817) 626-9962
Mailing address
4819 RIVEROAKS BLVD, FORT WORTH, TX 76114-4656
(817) 626-9744
(817) 626-9962
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
Q2313
TX
Other
Enumeration date
04/27/2017
Last updated
10/11/2018
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