Individual
CHITRA MUTHUSAMY IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 600, FORT WORTH, TX 76104-2158
(817) 878-5298
Mailing address
1325 PENNSYLVANIA AVE, SUITE 600, FORT WORTH, TX 76104-2158
(817) 878-5298
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36118038
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
N9379
TX
Other
Enumeration date
05/23/2007
Last updated
08/24/2011
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