Individual
DR. RAGHUVEER VANGURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10700 VICTORIA ASH DR, FORT WORTH, TX 76244-6392
(817) 380-4168
(817) 562-5560
Mailing address
1600 WATERS RIDGE DR STE A, LEWISVILLE, TX 75057-6039
(940) 320-1708
(940) 320-1708
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
P3262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307464301
—
TX
Enumeration date
07/30/2006
Last updated
08/27/2024
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