Individual
MARIJA DJOKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4701 BRYANT IRVIN RD N, FORT WORTH, TX 76107-7627
(817) 702-3100
(817) 569-1527
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M0704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174743802
—
TX
01
—
8GA571
ACCLAIM BCBS
TX
01
—
8U1292
BCBS
TX
01
—
P00837813
RAILROAD MEDICARE
TX
Enumeration date
05/18/2006
Last updated
07/21/2022
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